A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

Projectile vomiting after feedings

Absent bowel sounds

Increased sodium level

Golf ball-size mass over the left quadrant

Answer and Explanation

The Correct Answer is A

A. Projectile vomiting after feedings: Projectile vomiting after feedings, especially occurring a short time after feeding, is a classic sign of pyloric stenosis due to obstruction at the pylorus.
B. Absent bowel sounds: Absent bowel sounds may occur in more advanced cases of bowel obstruction but are not specific to pyloric stenosis.
C. Increased sodium level: Increased sodium level is not typically associated with pyloric stenosis.
D. Golf ball-size mass over the left quadrant: A palpable mass in the left quadrant is not a typical finding in pyloric stenosis.

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Correct Answer is A

Explanation

A. Urinary tract infection: Dysuria (painful urination) and urgency are common symptoms of urinary tract infection (UTI) in children.
B. Nephrotic syndrome: Nephrotic syndrome typically presents with proteinuria, edema, and hypoalbuminemia, not dysuria and urgency.
C. Acute glomerulonephritis: Acute glomerulonephritis may present with hematuria, proteinuria, hypertension, and edema, but not typically with dysuria and urgency.
D. Vesicoureteral reflux: Vesicoureteral reflux may present with recurrent UTIs but is not typically associated with dysuria and urgency as primary symptoms.

A. Insulin is absorbed most rapidly when injected in the thigh. B. Use cold insulin for injection to minimize site pain. C. Massage the site after injection to promote absorption. D. Rotate the injection site to keep insulin levels consistent.

Correct Answer is D

Explanation

A. Insulin is absorbed most rapidly when injected in the thigh. Insulin is actually absorbed most rapidly in the abdomen, not the thigh.
B. Use cold insulin for injection to minimize site pain. Insulin should be at room temperature for injection to reduce discomfort and avoid altered absorption rates. Cold insulin can increase injection pain.
C. Massage the site after injection to promote absorption. Massaging the injection site can cause unpredictable insulin absorption and is not recommended.
D. Rotate the injection site to keep insulin levels consistent. Rotating the injection sites helps prevent lipodystrophy and ensures consistent insulin absorption. It helps maintain stable blood glucose levels.

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A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

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