A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?
"Intussusception results from the twisting of the intestine, causing a blockage in the passage of food."
"Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge."
"Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply."
"Intussusception is a congenital condition where the layers of the intestinal wall do not form properly."
The Correct Answer is C
A. Twisting of the intestine describes volvulus, not intussusception.
B. Weakened abdominal muscles and bulging describe hernias, not intussusception.
C. Intussusception occurs when a part of the intestine telescopes into another part, leading to obstruction and potential ischemia.
D. Intussusception is not a congenital defect related to improper intestinal wall formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.
B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.
C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.
D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.
Correct Answer is C
Explanation
A. Cuff size recommendations vary based on the child’s arm circumference, not a specific range for all school-aged children.
B. The cuff should fit snugly around the child's arm, not loosely, to obtain an accurate reading.
C. Blood pressure is typically measured over the brachial artery using a manual or automated cuff.
D. Routine blood pressure screening usually begins at age 3 unless there are specific indications to begin earlier.
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