Parents have adopted a child with the diagnosis of kwashiorkor. ...

[sdfghj]

Parents have adopted a child with the diagnosis of kwashiorkor. What is most likely to be observed when assessing this child? (Select all that apply.)
 
  a. Hyperactivity
  b. White streak in hair
  c. Edematous abdomen
  d. Slowed growth
  e. Thick, oily hair

Question 2

A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.)
 
  a. Left lower quandrant pain
  b. Guarding
  c. Rebound tenderness
  d. Decreased C-reactive protein
  e. Pain on lifting thigh when supine

[jaymee143]

Answer to Question 1

ANS: B, C, D
Kwashiorkor means, in native dialect, the disease of the deposed baby when the next one is born, indicating that the child no longer breastfeeds because a sibling is born and takes over the breast of the mother. Oral intake then is deficient in protein. The child fails to grow normally. The muscles become weak and wasted. There is edema of the abdomen that may become generalized. Diarrhea, skin infections, irritability, anorexia, and vomiting may be present. The hair becomes thin and dry. Because protein is the basis of melanin, a substance that provides color to hair, melanin becomes deficient. This is the reason the earliest sign of this protein malnutrition is a white streak in the hair of the child (depigmentation). The child looks apathetic and weak.

Answer to Question 2

ANS: B, C, E
With appendicitis on examination, characteristic tenderness in the right lower quadrant known as McBurney's point will occur. Other diagnostic signs include guarding (tightening of the abdominal muscles or rigidity of the abdomen on palpation); rebound tenderness (pressing the RLQ with rapid release of pressure causes severe pain); pain on lifting the thigh while in the supine position is caused by muscle irritation. C-reactive protein levels will be increased after 12 hours if any infection is present.

[sdfghj]

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