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 B
Explanation
Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.
Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.
Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.
Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.
Correct Answer is D
Explanation
Choice A reason: Suggesting that a hospital representative attend the funeral is not typically within the scope of the nurse's role and may not be appropriate in all situations.
Choice B reason: Developing a professional support system can help nurses cope with the emotional demands of caring for dying children and prevent burnout.
Choice C reason: Demonstrating feelings of sympathy toward the family can provide comfort and support during a difficult time, which is an important aspect of nursing care.
Choice D reason: Taking time off from work can help nurses manage stress and grief, allowing them to maintain their well-being and professional effectiveness.
Choice E reason: Remaining in contact with the family after their loss can provide ongoing support and is a compassionate gesture that can help families cope with their grief.
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