The nurse is reviewing the client's medical record and notes a diagnosis of Hirschsprung's Disease. Which of the following correlates to this illness?
The intestine is twisted around itself causing severe pain
The child's intestine has a large blockage of scar tissue
The child's intestine has slipped inside of itself.
The intestine is missing crucial nerves to aid in peristalsis
The Correct Answer is D
A. The intestine is twisted around itself causing severe pain: This describes volvulus, a different condition that causes intestinal obstruction and ischemia.
B. The child's intestine has a large blockage of scar tissue: This describes intestinal strictures, which can occur due to Crohn’s disease or previous surgery, not Hirschsprung’s disease.
C. The child's intestine has slipped inside of itself: This describes intussusception, where one part of the intestine telescopes into another, causing obstruction.
D. The intestine is missing crucial nerves to aid in peristalsis: Hirschsprung’s disease is a congenital disorder where the ganglion cells (nerve cells responsible for peristalsis) are absent in parts of the intestine, leading to obstruction and difficulty passing stool.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You are more likely to get it if living in crowded conditions." Crowded conditions increase the risk of hepatitis A, which spreads via the fecal-oral route, not hepatitis C.
B. "It can be caught while getting a tattoo." Hepatitis C (HCV) is a bloodborne virus transmitted through contaminated needles (tattoos, IV drug use, needle-stick injuries, blood transfusions before 1992).
C. "Poor handwashing of restaurant workers may lead to its transmission." Hepatitis A, not C, is transmitted through contaminated food and poor hygiene. Hepatitis C requires direct blood-to-blood contact.
D. "The disease is passed person to person through casual contact." Hepatitis C is not spread by casual contact, kissing, or sharing food/utensils—it requires blood-to-blood exposure.
Correct Answer is B
Explanation
A. Both require frequent surgery: While surgery may be required for complications of UC or CD, not all cases require frequent surgery. UC is more likely to be treated with total colectomy, while Crohn’s often requires surgery for strictures, fistulas, or bowel obstruction.
B. Both are inflammatory: Both ulcerative colitis (UC) and Crohn’s disease (CD) are types of inflammatory bowel disease (IBD) characterized by chronic inflammation of the gastrointestinal tract.
C. Both begin in the rectum: Ulcerative colitis starts in the rectum and progresses proximally, while Crohn’s disease can occur anywhere along the gastrointestinal tract (mouth to anus) but most commonly affects the ileum and colon.
D. Both manifest fistula formation: Fistulas (abnormal connections between organs) are common in Crohn’s disease but not in ulcerative colitis.
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