An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?

Gather supplies for an Intravenous (IV) infusion.

Measure abdominal circumference.

Prepare for anorectal manometry.

Monitor strict urinary output

Answer and Explanation

The Correct Answer is B

A. Gathering supplies for an Intravenous (IV) infusion may be necessary if the infant becomes dehydrated or requires fluid resuscitation, but it is not the first action to take when there are concerns about a potential intestinal obstruction.

B. Measure abdominal circumference.

The infant's failure to pass meconium stool and the vomiting of bilious secretions are concerning signs that could indicate an obstruction in the gastrointestinal tract. Measuring the abdominal circumference is an essential initial assessment to determine if there is abdominal distension or enlargement, which can be a sign of an obstruction. Abdominal distention can help the healthcare provider assess the severity of the issue and make informed decisions regarding further diagnostic tests and interventions.

C. Preparing for anorectal manometry is not the first step in this situation. Anorectal manometry is a diagnostic test that may be considered later, depending on the findings and the healthcare provider's assessment.

D. Monitoring strict urinary output is not the primary concern in this case; the focus should be on assessing the infant's gastrointestinal status and potential bowel obstruction.

The nurse should promptly measure the infant's abdominal circumference to assess for signs of abdominal distension or obstruction and then communicate these findings to the healthcare provider for further evaluation and intervention.

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Correct Answer is D

Explanation

A. Comparing the child's vital signs over the past three weeks (option A) may not provide significant information about the underlying cause of his symptoms, as vital signs are unlikely to directly indicate stress or emotional distress.

B. Counseling the parents to pay more attention to the child (option B) is a general suggestion and may not be the most effective way to address the specific issues he is facing. It's important to identify the underlying causes and stressors first.

C. Conducting a complete neurological assessment (option C) is not warranted at this stage, as the child's symptoms are more likely related to emotional or psychological factors rather than a neurological problem. Gathering information about his school experiences would be a more appropriate initial step.

D. Ask the boy to describe a typical day at school.

The child's reported symptoms, including headaches, stomach aches, and difficulty sleeping, may be indicative of stress or emotional issues. To better understand and address the underlying cause of these symptoms, it's important to gather more information about the child's daily experiences. By asking the boy to describe a typical day at school (option D), the nurse can uncover potential stressors or challenges he may be facing, such as academic difficulties, bullying, social issues, or other stressors that might be contributing to his symptoms.

Correct Answer is ["12"]

Explanation

To calculate the amount of amoxicillin in mL to administer to a toddler weighing 15 kg, you can use the following calculation:

Dose (in mg) = Weight (in kg) x Dose (in mg/kg)

Dose (in mg) = 15 kg x 20 mg/kg = 300 mg

Now, you want to convert the dose to mL using the provided concentration:

Concentration = 125 mg/5 mL

Now, calculate the mL needed:

Volume (in mL) = Dose (in mg) / Concentration (in mg/mL)

Volume (in mL) = 300 mg / 125 mg/5 mL = 12 mL

So, the nurse should administer 12 mL of amoxicillin.

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An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?

Correct Answer is D

Explanation

Correct Answer is ["12"]

Explanation

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