A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?
Initiate bed rest.
Prepare the family for surgery.
Place an NG tube for decompression.
Encourage a high-fiber, low-protein, low-calorie diet.
The Correct Answer is B
Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.
Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.
Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.
Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
Choice A reason: Using a universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.
Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.
Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.
Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.
Correct Answer is D
Explanation
Choice A reason: Zanamivir is indeed recommended for children 1 year and older, but it is not the only antiviral medication for influenza. It is an inhaled medication and may not be suitable for all children.
Choice B reason: Amantadine is an antiviral medication; however, it is not commonly used for influenza prevention due to resistance. It is also not recommended for children under 1 year of age.
Choice C reason: Rimantadine is similar to amantadine and is administered orally, not intramuscularly. Like amantadine, resistance has limited its use for influenza treatment and prevention.
Choice D reason: Oseltamivir is an oral antiviral medication that can treat influenza if given within 48 hours of symptom onset. It can reduce the duration of symptoms and is suitable for children and adults.
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