A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?
Acute diarrhea; dehydration.
Failure to pass meconium; abdominal distension.
Projectile vomiting; altered electrolytes.
Currant jelly-like gelatinous stools; pain.
The Correct Answer is B
Choice A reason: Acute diarrhea and dehydration are not typical of Hirschsprung disease, which is characterized by bowel obstruction.
Choice B reason: This is the correct choice. Failure to pass meconium within the first 48 hours of life and abdominal distension are classic signs of Hirschsprung disease.
Choice C reason: Projectile vomiting and altered electrolytes could be signs of other conditions but are not specific to Hirschsprung disease.
Choice D reason: Currant jelly-like gelatinous stools and pain are more indicative of intussusception rather than Hirschsprung disease. Hirschsprung disease typically presents with a failure to pass stool and abdominal distension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. Thick pulmonary secretions are a hallmark of cystic fibrosis and must be addressed in the care plan.
Choice B reason: While cystic fibrosis can affect various glands, the primary concern is the respiratory system.
Choice C reason: Elevated levels of chloride, not potassium, are found in the sweat of individuals with cystic fibrosis.
Choice D reason: Cystic fibrosis is an autosomal recessive disorder, not dominant. This is important for genetic counseling and understanding the inheritance pattern.
Correct Answer is A
Explanation
Choice A reason: School-age children, typically around the ages of 6 to 12, begin to grasp the finality and irreversibility of death. They understand that death is universal and affects all living things.
Choice B reason: Preschool-age children may have some concept of death, but they often view it as reversible or temporary, not fully understanding its permanence.
Choice C reason: Toddlers are too young to comprehend the concept of death, as their cognitive development at this stage does not allow for such abstract thinking.
Choice D reason: While adolescents certainly understand the permanence of death, this awareness develops earlier, during the school-age years. Adolescents may begin to explore more complex philosophical and existential questions about life and death.
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