Which assessment finding should the nurse expect in an infant with Hirschsprung disease?
a. "Currant jelly" stools
b. Constipation with passage of foul-smelling, ribbon-like stools
c. Foul-smelling, fatty stools
d. Diarrhea
B
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A "Currant jelly" stools are associated with intussusception.
B Constipation results from absence of ganglion cells in the rectum and colon, and
is present since the neonatal period with passage of frequent foul-smelling,
ribbon-like, or pellet-like stools.
C Foul-smelling, fatty stools are associated with cystic fibrosis and celiac disease.
D Diarrhea is not typically associated with Hirschsprung disease but may result
from impaction.
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A 47-year-old woman has developed osteoarthritis, hypertension, and breast cancer. Her mother also suffered from the same conditions at 51 years of age. The nurse explains that this could be a result of:
A) X-linked inheritance B) Autosomal recessive inheritance C) Autosomal dominant inheritance D) Multifactorial inheritance
The client's lab studies reveal a normal serum albumin with a prealbumin of 10. How does the nurse interpret the significance of these readings?
A) The client has had recent protein malnutrition. B) The client is now relatively well nourished, with malnutrition 6–8 months ago. C) Carbohydrate malnutrition has occurred over the last 6 months. D) The client is at risk for development of malabsorption syndromes.
A client is scheduled for a myelogram. Which of the following should the nurse instruct the client regarding pre-procedure activities? (Select all that apply.)
1. Drink extra fluids the evening before the procedure. 2. Take nothing by mouth 4 to 8 hours before the procedure. 3. Empty the bladder before the procedure. 4. Sleep with head elevated at a 30 degree angle. 5. Stay in bed for 16 hours. 6. Take pain medication as prescribed .
The nurse is assessing the rhythm strip of a patient for pacemaker malfunctions
What will the nurse assess when analyzing this patient's rhythm strip? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Failure to pace 2. Failure to capture 3. Failure to sense 4. Oversensing 5. Failure to discharge