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 B
Explanation
A. Family-centered care focuses on both the client and family, not just the caregiver.
B. Family-centered care enhances the quality of care, improves safety, and results in better outcomes by involving families in the decision-making process.
C. Family-centered care increases collaboration and communication, leading to more effective care.
D. Family-centered care can help reduce healthcare costs by improving outcomes and reducing hospital stays.
Correct Answer is C
Explanation
A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.
B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.
C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.
D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.
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