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 A
Explanation
A. Understanding that the ostomy is temporary indicates an understanding of the surgical procedure and the need for subsequent surgeries for definitive treatment.
B. It's important for the parent to understand potential complications associated with the surgery and the condition.
C. Normal bowel movements may not be immediately achievable after surgery for Hirschsprung disease and may require further intervention.
D. Follow-up visits are essential for monitoring the child's progress and ensuring proper healing and management of the condition post-surgery.
Correct Answer is C
Explanation
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.
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