A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Presence of dance sign

Always seems full

Projectile vomiting

Excessive weight gain

Answer and Explanation

The Correct Answer is C

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Administer benzodiazepine medication. – Correct. Benzodiazepines (e.g., lorazepam, diazepam) are first-line treatments for prolonged seizures.

B. Perform neurological checks. – Correct. Monitoring postictal status helps assess brain function.

C. Reorient and calm the child. – Correct. After the seizure, the child may be confused and require reassurance.

D. Position the child in a side-lying position. – Correct. This prevents aspiration and maintains a clear airway.

E. Restrict the child's movements during the seizure. – Incorrect. Restraining can cause injury. Instead, protect the child from harm by removing nearby objects.

F. Document the duration and characteristics of the seizure. – Correct. Recording seizure length, activity, and triggers is crucial for medical management.

Correct Answer is ["84"]

Explanation

To determine the minimum dose for this child based on the reference safe dose range, follow these steps:

Reference safe dose range: Minimum dose = 7 mg/kg/day.

Child's weight: 12 kg.

Calculate the minimum dose:

Minimumdose=7 mg×12 kg=84 mg/day

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A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with a seizure in the hospital. Which nursing interventions are appropriate for this child? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A child is ordered Phenytoin 75 mg po twice a day. The reference safe dose is 7-9mg/kg/day The child weighs 12kg What is the minimum dose this child should receive per day?

Correct Answer is ["84"]

Explanation

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