A child diagnosed with Hirschsprung's disease is scheduled for surgery. Which of the following actions should the nurse include in the preoperative care for this child? (Select All that Apply.)
Measure abdominal girth
Teach the child deep breathing exercises
Assess the child's bowel function with characteristics of stool
Administer isotonic enema to evacuate bowel
Administer an antibiotic as per order
Restrict the child's fluid intake
Assess vomiting
Correct Answer : A,C,E,G
A. Measure abdominal girth – Correct. Measuring abdominal girth helps monitor for signs of obstruction, which is common in Hirschsprung’s disease due to the absence of ganglion cells in the colon.
B. Teach the child deep breathing exercises – Incorrect. Deep breathing exercises are not typically taught to infants or young children undergoing surgery for Hirschsprung’s disease.
C. Assess the child's bowel function with characteristics of stool – Correct. Assessing stool patterns is important since Hirschsprung’s disease is characterized by an absence of peristalsis in the affected bowel.
D. Administer isotonic enema to evacuate bowel – Incorrect. Enemas are contraindicated in Hirschsprung’s disease as they can lead to bowel perforation.
E. Administer an antibiotic as per order – Correct. Preoperative antibiotics are given to prevent infection.
F. Restrict the child's fluid intake – Incorrect. Fluid restriction is not necessary and may worsen dehydration, especially if the child has vomiting or diarrhea.
G. Assess vomiting – Correct. Vomiting can indicate worsening obstruction or enterocolitis, a serious complication of Hirschsprung’s disease.
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Related Questions
Correct Answer is D
Explanation
A. Wash the face once a day using hot water. – Incorrect. Hot water can strip natural oils and worsen irritation. Lukewarm water is recommended.
B. Wash the face weekly to avoid irritation. – Incorrect. Infrequent washing can lead to buildup of oil and bacteria, worsening acne.
C. Scrub the face three times a day. – Incorrect. Excessive scrubbing can irritate the skin and increase inflammation.
D. Use pH-balanced skin care products. – Correct. Mild, pH-balanced cleansers help maintain the skin barrier and reduce acne severity.
Correct Answer is ["B","C","D"]
Explanation
A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.
B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.
C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.
D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.
E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.
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