Which assessment findings are NOT associated with pyloric stenosis in a 2-month-old infant?- Nurselytic

Question 1 of 5

Which assessment findings are NOT associated with pyloric stenosis in a 2-month-old infant?

A. Projectile vomiting B. Severe dehydration as demonstrated by sunken eyeballs and depressed anterior fontanelle C. A bloated and tense tympanic abdomen D. A palpable mass the size and shape of an olive, located in the right upper quadrant of the abdomen

Correct Answer: C

Rationale: A bloated and tense tympanic abdomen is not typically associated with pyloric stenosis.

Question 2 of 5

A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins were adequate and uninvolved with cancer. Sentinel lymph node sampling was negative for lymph node involvement. She has good performance status and no activities of daily living (ADL) or instrumental (IADL) dependencies. What treatment would you recommend?

A. Adjuvant chemotherapy B. Adjuvant chemotherapy with radiation C. Adjuvant radiation only D. Hormonal therapy only

Correct Answer: E

Rationale: No further treatment is necessary given the patient's good prognosis and lack of lymph node involvement or metastasis.

Question 3 of 5

The nurse is caring for an older adult client with a history of falls. Which intervention is most likely to reduce the risk of future falls?

A. Encourage bed rest and minimal movement. B. Promote a consistent exercise routine focused on balance and strength. C. Restrict fluid intake to reduce bathroom visits. D. Limit social interaction to prevent distractions.

Correct Answer: B

Rationale: Exercise that improves balance and strength is a proven intervention to prevent falls in older adults.

Question 4 of 5

The following are components of the open disclosure of medical error, except:

A. An apology to the injured patient. B. An explanation of the error in lay language. C. A best guess as to why the error occurred. D. An assurance that a full investigation will take place.

Correct Answer: C

Rationale: A best guess as to why the error occurred is not a required component of open disclosure.

Question 5 of 5

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince’s symptoms?

A. Start an alpha-blocker. B. Start a 5-alpha-reductase inhibitor. C. Start combination therapy with an alpha-blocker and a 5-alpha-reductase inhibitor. D. Start a 4-week course of ciprofloxacin.

Correct Answer: D

Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.