Parents of a 20-month-old infant report that he refuses food or eats poorly and that he grimaces when he swallows. He also is irritable and cries a lot
The mother is worried that he ate something inappropriate this morning, because he vomited something that looked like coffee grounds. Which of the following health problems would the care team first suspect?
A)
Rotavirus infection
B)
Appendicitis
C)
Esophagitis from gastrointestinal reflux
D)
Hirschsprung disease
Ans:
C
Feedback:
Esophagitis secondary to reflux can cause feeding problems, early satiety, and hematemesis. Infants may demonstrate signs of pain when swallowing and may be irritable and cry frequently. Rotavirus causes diarrhea and vomiting, but not the other symptoms. Appendicitis is inflammation of the appendix. Appendicitis usually starts with the main symptom of pain around the navel that moves to the lower right abdomen. Hirschsprung disease is a blockage of the large intestine due to improper muscle movement in the bowel. It is a congenital condition, which means it is present from birth. In Hirschsprung disease, the nerves are missing from a part of the bowel. One primary s/s is a failure to pass meconium shortly after birth.
You might also like to view...
The patient has an intracranial pressure monitor. After the patient returns from a computed tomography (CT) scan of the head, the nurse notices that the patient's intracranial pressure is significantly lower than before the scan
What nursing action is most likely to identify a cause of this change? A) Take vital signs. B) Flush monitor tubing toward patient. C) Relevel the transducer. D) Drain cerebrospinal fluid.
How should the nurse document the white thick coating on the infant at delivery?
A) Lanugo B) Milia C) Vernix D) Amniotic fluid
Which of the following factors contributes to the substance abuse problem?
1. Increased knowledge about the use of drugs 2. Social acceptability of certain drugs 3. Recognition of substance abuse as a health problem rather than a criminal justice problem 4. Control of the content and strength of illegal drugs
A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right career choice. Which of the following terms best describes how the nurse is feeling?
a. Cultural conflict
b. Cultural relativism
c. Culture shock
d. Culture brokering