The nurse is caring for a 5-week-old infant who has been experiencing projectile vomiting after feedings. What additional symptom should the nurse anticipate?
Stool containing mucus and blood.
An olive-sized mass in the epigastric region.
Frequent burping accompanied by poor feeding.
Rebound tenderness in the left lower abdominal quadrant.
The Correct Answer is B
Choice A rationale
While it’s possible for an infant with projectile vomiting to have stool containing mucus and blood, this is not typically associated with the condition that most commonly causes projectile vomiting in infants, which is pyloric stenosis.
Choice B rationale
An olive-sized mass in the epigastric region is a classic symptom of pyloric stenosis. This condition occurs when the muscle between the stomach and the small intestine (the pylorus) thickens, preventing food from moving from the stomach to the intestine.
Choice C rationale
Frequent burping and poor feeding can be symptoms of many different conditions in infants, but they are not typically associated with pyloric stenosis.
Choice D rationale
Rebound tenderness in the left lower abdominal quadrant is a symptom of conditions like appendicitis, but it is not typically associated with pyloric stenosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The adolescent client’s symptoms of localized pain, swelling, and tenderness, particularly at night, are suggestive of a malignancy such as osteosarcoma, which is the most common primary bone tumor in children and adolescents. Radial ossification in the soft tissues is a characteristic finding in osteosarcoma and is indicative of bone production by malignant cells.
Choice B rationale
Hemosiderosis is a rare condition characterized by the accumulation of iron in various tissues, including the liver, spleen, and bone marrow. It may present with symptoms such as fatigue, joint pain, and abdominal pain, but is not typically associated with the symptoms and imaging findings described in the case scenario.
Choice C rationale
Growing pains are a common, benign condition that occur in children and do not typically present with the symptoms described in the case scenario.
Choice D rationale
Rhabdomyolysis is a medical emergency that involves the breakdown of skeletal muscle tissue and release of muscle fiber contents into the bloodstream. It can present with muscle pain, swelling, and tenderness, but typically occurs as a result of injury, infection, or drug toxicity.
Correct Answer is C
Explanation
Choice A rationale
Recognizing most letters and numbers is a skill typically developed around the age of 4 or 5, not at 3 years old.
Choice B rationale
Using 1-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
Choice C rationale
Speaking in simple sentences with four or more words is a typical language skill for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
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