A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.
“The operation will straighten out the kink in then intestine.”
“I want to learn how to use the feeding tube as soon as possible.”
“I’m glad my child will have bowel movements now.”
“I’m glad that the ostomy is only temporary.”
The Correct Answer is D
A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.
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Related Questions
Correct Answer is D
Explanation
A. Suction the toddler's nose and mouth every hour: Suctioning can damage surgical sites and should be avoided.
B. Give the toddler a hard-tipped sippy cup to drink liquids: Hard-tipped sippy cups can disrupt the surgical repair. Use alternative feeding methods.
C. Provide soft foods for the toddler: The child should only receive liquids postoperatively to prevent injury to the repair.
D. Maintain elbow restraints on the toddler: Elbow restraints prevent the toddler from putting their hands in their mouth or disrupting the surgical site.
Correct Answer is D
Explanation
A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.
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