A nurse is caring for a school-age child admitted for suspected Hirschsprung's disease.
Which provider order should the nurse querry

Choice A rationale

Pediculosis, an infestation of lice, is highly contagious through direct contact, especially head-to-head contact. Therefore, no precautions are insufficient to prevent the spread of lice to healthcare workers and other patients. Standard precautions are necessary.

Choice B rationale

Wearing a gown and hair cover is not typically required for routine care of a child with pediculosis. Standard precautions, including gloves to prevent direct contact with the child's hair and scalp, are generally sufficient. Gowns are usually indicated when there is a risk of contact with body fluids or secretions.

Choice C rationale

Isolating the child in a negative-pressure room is reserved for airborne infections, such as tuberculosis or measles. Pediculosis is transmitted through direct contact, not airborne droplets, so isolation in a negative-pressure room is unnecessary and inappropriate.

Choice D rationale

Wearing gloves is the appropriate nursing action when treating a hospitalized child with pediculosis. Gloves prevent direct contact with the lice and their eggs (nits) during examination and treatment of the scalp and hair, thus minimizing the risk of transmission to the healthcare worker. .

Choice A rationale

Inserting a nasogastric tube for decompression of the abdomen is a standard intervention for suspected Hirschsprung's disease, which is characterized by a lack of ganglion cells in a segment of the colon, leading to impaired motility and potential bowel obstruction. Decompression helps relieve abdominal distension and pressure.

Choice B rationale

NPO status and initiating IV fluids are appropriate initial management for a child with suspected Hirschsprung's disease to rest the bowel and maintain hydration and electrolyte balance while further diagnostic tests are performed.

Choice C rationale

Monitoring abdominal girth every 4 hours is essential to assess for increasing abdominal distension, which can indicate worsening obstruction in Hirschsprung's disease. An increasing girth would warrant further investigation and intervention.

Choice D rationale

Administering a large-volume liquid enema is contraindicated in suspected Hirschsprung's disease. Due to the aganglionic segment's impaired motility, the enema fluid may not be expelled and could lead to fluid overload or bowel perforation. Diagnostic enemas using contrast are performed under controlled conditions.