The nurse is caring for an infant who is admitted for possible pyloric stenosis. When assessing the infant, which actions are appropriate?
Select all that apply.
A) Observe the infant's abdomen.
B) Auscultate bowel sounds.
C) Provide oral feeding.
D) Palpate the right upper quadrant of the abdomen.
E) Pass a nasogastric tube.
Answer: A, B, D
During the assessment of an infant suspected of having pyloric stenosis, the nurse will observe the infant's abdomen for a peristaltic wave, auscultate the bowel sounds, and palpate the right upper quadrant of the abdomen for an olive-shaped mass. Providing oral feedings and passing a nasogastric tube are nursing interventions and not tasks that are completed during the assessment process.
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