The classic triad of intussusception (pain, a palpable sausage-shaped abdominal mass, and bloody or currant jelly stool) is seen in

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Question 1 of 5

The classic triad of intussusception (pain, a palpable sausage-shaped abdominal mass, and bloody or currant jelly stool) is seen in

A. <20% of patients B. 30-40% of patients C. 50% of patients D. 60% of patients

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?

A. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies. B. The newborn's stomach capacity is small, and peristalsis is rapid, necessitating frequent small feedings. C. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children. D. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 3-month-old is being evaluated for possible Hirschsprung disease. His parents call the nurse and show his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and has a very distended abdomen. Which should be the nurse's next action?

A. Reassure the parents that this is an expected finding and not uncommon. B. Call a code for a potential cardiac arrest, and stay with the infant. C. Immediately obtain all vital signs with a quick head-to-toe assessment. D. Obtain a stool sample for occult blood.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The nurse is caring for a 5-month-old infant diagnosed with intussusception. The infant has periods of irritability with the knees drawn to the chest alternating with periods of lethargy; vital signs are stable. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response.

A. The enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception. B. The enema will confirm the diagnosis. Although very unlikely, the enema may also help fix the intussusception so that your child will not immediately need surgery. C. The enema will help confirm the diagnosis and has a good chance of reducing the intussusception. D. The enema will help confirm the diagnosis and may temporarily fix the intussusception. If the bowel returns to normal, there is a strong likelihood that the intussusception will recur.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is caring for a newborn who has just been diagnosed with tracheoesophageal fistula and is scheduled for surgery. Which should the nurse expect to do in the pre-operative period?

A. Keep the child in a monitored crib, obtain frequent vital signs, and allow the parents to visit but not hold their infant. B. Administer intravenous fluids and antibiotics. C. Place the infant on 100% oxygen via a non-rebreather mask. D. Have the mother feed the infant slowly in a monitored area, stopping all feedings 4 to 6 hours before surgery.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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