A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of "currant jelly" stool
Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve. Which term is used to describe this type of obstruction?
a. Prolapse
b. Pyloric stenosis
c. Intussusception
d. Imperforation
ANS: C
In intussusception, the ileum commonly telescopes into the cecum and part of the ascending co-lon by collapsing through the ileocecal valve. The classic symptoms of intussusception include colicky abdominal pain, irritability, knees drawn to the chest, abdominal mass, vomiting, and bloody (currant jelly) stools. The assessment data does not support a diagnosis of prolapse, pylo-ric stenosis, or of imperforation.
You might also like to view...
A college sophomore has sought care because of her worsening acne. Before beginning a medical regime that includes a retinoid, which of the following laboratory tests must be negative?
A) Throat culture B) Skin culture C) Stool for occult blood D) Pregnancy test
The three-year-old child with cystic fibrosis has just been discharged from the hospital following a two-week stay due to a respiratory infection. The child has a post-discharge office visit the next day
During the office visit, the mother mentions that the child was toilet trained before hospitalization but now is having accidents. Which response by the nurse would be most appropriate? 1. "This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished." 2. "Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the physician of this change." 3. "The child may have a urinary tract infection and needs to be evaluated." 4. "Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently."
A patient is undergoing preoperative teaching before cardiac surgery. The nurse explains that a temporary pacemaker will be placed later that day, and it will be removed after the surgery
The patient asks the nurse what will happen if the pacemaker quits functioning. What is the nurse's best response? A) "Monitoring for pacemaker malfunctioning and battery failure is something the nurse caring for you does." B) "Monitoring for pacemaker malfunctioning and battery failure is something the technician down the hall does." C) "Monitoring for pacemaker malfunctioning and battery failure is something the secretary at the nurse's station does." D) "Monitoring for pacemaker malfunctioning and battery failure is something the health care provider caring for you does when he makes rounds every day."
The nurse manager believes that one staff nurse on the mental health care unit has developed burnout and depersonalization. Which behavior did the manager observe to make this clinical determination? (Select all that apply.)
1. Calling in sick almost every other week 2. Forming a committee to focus on improving staff satisfaction 3. Starting a yoga class for the patients on the evening shift 4. Taking breaks at different times than co-workers 5. Working on many of the occasions when unit acuity was high