What is the cardinal sign a nurse would expect to observe with intussusception?
Red, currant, jelly-like stools
Absent bowel sounds
Hematemesis
Bilious emesis
The Correct Answer is A
a) Red, currant, jelly-like stools: This is a classic indication of intussusception due to the presence of blood and mucus in the stool, a result of intestinal obstruction and ischemia.
b) Absent bowel sounds: Can occur but are not specific to intussusception.
c) Hematemesis: Vomiting blood is not a characteristic sign of intussusception.
d) Bilious emesis: While indicative of gastrointestinal issues, it's not the cardinal sign of intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Janeway spots: Janeway lesions are painless, small, erythematous or hemorrhagic macules found on the palms or soles, characteristic of infective endocarditis, not typically associated with rheumatic fever.
b) Polyarthritis 5 + joints: Polyarthritis involving multiple joints, often migrating, is a major manifestation of acute rheumatic fever.
c) Vomiting: While nausea and vomiting can occur, they are not specific to rheumatic fever.
d) Oster nodes: Osler nodes are tender nodules found in infective endocarditis, not typically seen in rheumatic fever.
Correct Answer is D
Explanation
a) Pulmonary constriction: Typically, not associated with tracheal deviation or air in the pleural space.
b) Smoke inhalation injury: Unlikely to cause tracheal deviation or air in the pleural space.
c) Pneumonia: Does not typically cause tracheal deviation or immediate hypotension.
d) Tension pneumothorax: Presents with air in the pleural space, tracheal deviation, respiratory distress, decreasing LOC, and can lead to hypotension due to compromised circulation.
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