The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?

The treatment for the disorder will be a surgical procedure

Your child will be treated with oral iron preparations to correct the anemia

Your child will receive counseling so the underlying concerns will be addressed

We will give enemas until clear and then teach you how to do these at home

Answer and Explanation

The Correct Answer is A

A. The primary treatment for congenital aganglionic megacolon (Hirschsprung's disease) is surgical intervention to remove the affected segment of the bowel, allowing for normal bowel function and preventing complications such as bowel obstruction.

B. Oral iron preparations would not address the underlying condition of Hirschsprung's disease, which is related to the lack of nerve cells in the bowel.

C. While counseling may be beneficial for the caregivers regarding the diagnosis and care, it is not the primary treatment for Hirschsprung's disease.

D. While enemas may be used temporarily to relieve constipation, they are not a definitive treatment for the disease, which requires surgical correction.

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Correct Answer is C

Explanation

A. Elevating the affected part is correct and helps reduce swelling and bleeding.

B. Resting the affected area is appropriate and will help minimize movement and further bleeding.

C. Applying heat is not recommended for bleeding episodes as it can increase blood flow and exacerbate bleeding; ice is generally recommended.

D. Compressing the site is appropriate as it helps control bleeding and provides pressure to the affected area.

A. Cashews B. Oranges C. Yogurt D. Red meat

Correct Answer is D

Explanation

A. Cashews contain some iron but are not the highest source compared to red meat.

B. Oranges are high in vitamin C but low in iron; they can help with iron absorption when consumed with iron-rich foods.

C. Yogurt provides calcium and protein but is not a significant source of iron.

D. Red meat is an excellent source of heme iron, which is more easily absorbed by the body than non-heme iron found in plant foods.

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The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?

Nursing Test Bank

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Explanation

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Correct Answer is D

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