During an assessment, an infant is suspected to have intussusception. Which of the following findings should the nurse expect?
- A. Currant jelly stools
- B. Projectile vomiting
- C. Scaphoid abdomen
- D. Frequent stools
Correct Answer: A
Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.
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The healthcare provider is providing dietary teaching to the parent of a school-age child who has celiac disease. The healthcare provider should recommend that the parent offer which of the following foods to the child?
- A. Wheat bread
- B. Vanilla malt
- C. Barley soup
- D. Rice pudding
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?
- A. medulloblastoma
- B. anaplastic astrocytoma
- C. myxopapillary ependymoma
- D. choroid plexus carcinoma
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The professional should identify which of the following laboratory values indicates effectiveness of the current treatment?
- A. Potassium 2.9 mEq/L
- B. Sodium 140 mEq/L
- C. Urine specific gravity 1.035
- D. BUN 25 mg/dL
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Head circumference (HC) increase in the first 3 months of life by
- A. 0.5 cm per month
- B. 1 cm per month
- C. 1.5 cm per month
- D. 2 cm per month
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
- A. complete blood count
- B. pharmacogenetic testing of the thiopurine S-methyltransferase (TPMT) gene
- C. renal function test
- D. bone marrow study
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.