Which of the following clinical manifestations is commonly seen in pyloric stenosis?

Abdominal distention

Diarrhea

Constipation

Projectile vomiting after feeding

Answer and Explanation

The Correct Answer is D

A.   Abdominal distention is not a primary feature of pyloric stenosis. Instead, vomiting and dehydration are more commonly observed.
B.   Diarrhea is not a typical symptom of pyloric stenosis, as the condition primarily causes vomiting rather than changes in stool consistency.
C.   Constipation is not a major feature of pyloric stenosis; the child may experience other gastrointestinal symptoms like vomiting and poor feeding.
D.   Projectile vomiting after feeding is the hallmark symptom of pyloric stenosis. This vomiting typically occurs within 30 minutes of feeding and may become forceful as the condition progresses.

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Correct Answer is C

Explanation

A. Half-strength infant formula is not a clear liquid and could be too complex for an infant recovering from surgery.
B. Sterile water does not provide electrolytes, which are important for recovery from surgery and preventing dehydration.
C. Oral electrolyte solution is ideal for an infant post-surgery because it helps replace lost fluids and electrolytes.
D. Half-strength orange juice is not appropriate post-surgery because the acidity can irritate the stomach and intestines, delaying recovery.

A. Monitor the child for fluid volume excess. B. Discuss the manifestations of hyperglycemia with the parents. C. Place the child on a low-sodium diet. D. Teach the parents about cortisol replacement therapy.

Correct Answer is D

Explanation

A. Addison’s disease is characterized by adrenal insufficiency, not fluid volume excess. Monitoring for fluid volume deficit is more appropriate.
B. Hyperglycemia is not a typical manifestation of Addison's disease, as the condition is associated with a deficiency of cortisol, which can result in low blood glucose levels.
C. A low-sodium diet is not indicated for Addison's disease; in fact, the child may require increased sodium intake due to adrenal insufficiency.
D. Cortisol replacement therapy is a cornerstone of managing Addison’s disease. It helps to compensate for the deficient cortisol, which is necessary for normal metabolism and stress response.

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Which of the following clinical manifestations is commonly seen in pyloric stenosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

Correct Answer is C

Explanation

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A parent tells a nurse that her toddler drinks 32 oz of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddle is at risk for which of the following disorders?

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

A nurse is caring for a preschool child with suspected diabetes insipidus. Which clinical manifestation would the nurse expect to observe?

A parent tells a nurse that her toddler drinks 32 oz of milk a day and has a poor appetite for solid foods. The nurse should explain that the toddle is at risk for which of the following disorders?

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

A nurse is providing teaching to the parent of an infant about introducing solid foods. The nurse should recommend that which of the following foods be introduced first?

A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the tube feeding?