A nurse is caring for an infant who has aganglionic megacolon causing decreased motility of part of the intestine. The nurse should identify this finding of mechanical obstruction as a manifestation of which of the following disorders?
Pyloric stenosis
Encopresis
Hirschsprung's disease
Enterocolitis
The Correct Answer is C
A. Pyloric stenosis involves obstruction at the outlet of the stomach and is not related to the large intestine.
B. Encopresis refers to bowel incontinence and is not typically associated with mechanical obstruction of the large intestine.
C. Hirschsprung's disease, characterized by the absence of ganglion cells in the large intestine, results in decreased motility and mechanical obstruction, leading to megacolon.
D. Enterocolitis is inflammation of the intestines and can be a complication of Hirschsprung's disease but is not the primary disorder causing mechanical obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Although monitoring is important, the low urine output and weight of the child warrant further intervention.
B. With such low urine output, especially considering the child's weight, notifying the healthcare provider is essential for further evaluation and management. At 33 lbs, the child's expected urine output is closer to 1 ml/kg/hr (around 33 ml/hr).
C. Oral rehydration fluids may be indicated for dehydration but should be guided by healthcare provider orders.
D. A bladder scan may not provide relevant information in this case of oliguria; notification of the provider is more appropriate.
Correct Answer is B
Explanation
A. Polyuria is a symptom of nephrotic syndrome but may not be the priority action compared to managing complications like hypertension.
B. Hypertension is a common complication of nephrotic syndrome and requires immediate attention to prevent further complications.
C. Smokey brown urine may indicate significant renal damage but is not the priority compared to managing hypertension.
D. Facial edema is a common symptom of nephrotic syndrome but may not be the priority compared to managing hypertension.
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