A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Bradycardia

Hyperactive bowel sounds

WBC 17,000/mm

Left lower quadrant abdominal pain

Answer and Explanation

The Correct Answer is C

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically associated with acute appendicitis. In fact, tachycardia, or a faster than normal heart rate, may occur due to the body’s response to inflammation and infection.
Choice B rationale
Hyperactive bowel sounds are not a typical finding in acute appendicitis. In fact, bowel sounds may be normal or decreased due to the inflammatory process.
Choice C rationale
A white blood cell (WBC) count of 17,000/mm is higher than the normal range, indicating the presence of an infection or inflammation in the body. This is a common finding in acute appendicitis.
Choice D rationale
Pain from appendicitis is typically located in the right lower quadrant of the abdomen, not the left.

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Correct Answer is A

Explanation

Choice A rationale
Mucus and blood in stools, often described as “currant jelly” stools, are a common symptom of intussusception.
Choice B rationale
Increased appetite is not typically associated with intussusception. In fact, children with this condition may experience decreased appetite due to abdominal pain.
Choice C rationale
Jaundice is not a symptom of intussusception. Jaundice, a yellowing of the skin and eyes, is more commonly associated with liver conditions.
Choice D rationale
Drooling is not a typical symptom of intussusception. Symptoms of intussusception are primarily gastrointestinal, including abdominal pain and bloody stools.

A. Jaundice B. Abdominal mass C. Swollen joints D. Diarrhea

Correct Answer is B

Explanation

Choice A rationale
Jaundice, a yellowing of the skin and eyes, is not typically a symptom of Wilms’ tumor. It is more commonly associated with conditions that cause liver dysfunction.
Choice B rationale
An abdominal mass is one of the most common symptoms of Wilms’ tumor. Parents or healthcare providers may feel a lump or swelling in the child’s abdomen.
Choice C rationale
Swollen joints are not a typical symptom of Wilms’ tumor. They are more commonly associated with conditions that affect the joints, such as juvenile arthritis.
Choice D rationale
Diarrhea is not a typical symptom of Wilms’ tumor. It is more commonly a symptom of gastrointestinal illnesses.

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A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is gathering information from a 1-year-old child who has been diagnosed with Wilms’ tumor. Which of the following symptoms should the nurse anticipate?

Correct Answer is B

Explanation

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