Gastrointestinal Disorders Trusted Study Materials for All Testing Exams

Which of the following assessment findings would the nurse most expect to find in the child who has been diagnosed with having hypertrophic pyloric stenosis? A) Currant jelly stools and a palpable, hard mass in the right upper quadrant B) Projectile vomiting and hunger soon afterwards C) Weight loss and bloody diarrhea D) Severe, cramp abdominal pain and lethargy Answer: B. Pyloric stenosis is where the pylorus becomes edematous and large blocking the entrance out of the stomach. Projectile (forceful vomiting) and hunger afterwards would be expected in pyloric stenosis, as all nutrition is being blocked from heading into the small intestine. Other symptoms include a palpable mass in the right upper quadrant, weight loss, dehydration, and lethargy. Currant jelly stools and diarrhea would not be expected with this disorder because of the blockage created.