The nurse is documenting the assessment of an infant. During the abdominal assessment, the nurse noticed a very loud splash auscultated over the upper abdomen when the nurse rocked her from side to side. This finding would indicate:

a. Epigastric hernia.
b. Pyloric obstruction.
c. Hypoactive bowel sounds.
d. Hyperactive bowel sounds.


ANS: D
A succussion splash, which is unrelated to peristalsis, is a very loud splash auscultated over the upper abdomen when the infant is rocked side to side. It indicates increased air and fluid in the stomach as observed with pyloric obstruction or large hiatus hernia

Nursing

You might also like to view...

Which of the following actions have been effective in reducing problems related to alcohol use? (Select all that apply.)

a. Abstinence education programs in elementary schools b. Enforcement of ban on sales of alcohol to minors c. Increased taxes on alcoholic beverages d. Media campaigns that show unpleasant behaviors such as vomiting after drinking e. Stringent laws on accurate labeling of alcoholic content in beverages f. Suggesting children be taught appropriate use of alcohol in the home

Nursing

A client states, "My wife has been reading about the human genome project. Do you think that may help with my cancer treatment?" Which nursing response is most appropriate?

1. "While that work is interesting, it isn't very far along." 2. "In the future there may be some changes because of this project." 3. "Some of the work of this project is changing the way we treat different diseases." 4. "The results of the project are too broad to help individual clients."

Nursing

The nurse explains to the parents of a child with attention deficit/hyperactivity disorder that the rationale for using "vest therapy" is to:

A) Provide a mechanism to attach a leash to disable the child from running away from the parents. B) Promote safety during hydrotherapy. C) Improve the child's attention by slowing the child down. D) Provide a non-tactile form of discipline.

Nursing

The nurse evaluates the diet of a pregnant client and finds that it is low in zinc. The nurse knows that zinc intake should increase during pregnancy to promote protein metabolism

Which food should the nurse suggest in order to increase intake of zinc? 1. Shellfish 2. Bananas 3. Yogurt 4. Cabbage

Nursing