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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Hirschsprung's disease: Hirschsprung’s disease is caused by a congenital absence of ganglion cells in the colon, leading to impaired peristalsis and mechanical obstruction. This condition presents with symptoms such as delayed meconium passage, abdominal distention, and constipation.

B. Pyloric stenosis: Pyloric stenosis is characterized by hypertrophy of the pylorus, causing gastric outlet obstruction. It presents with projectile vomiting rather than mechanical obstruction of the lower intestine.

C. Crohn’s disease: Crohn’s disease is an inflammatory bowel condition, not a congenital disorder of motility. It primarily causes inflammation rather than mechanical obstruction.

D. Enterocolitis: Enterocolitis refers to inflammation of the intestines, which can occur due to infections or conditions like necrotizing enterocolitis (NEC) in preterm infants. It does not primarily present as a congenital mechanical obstruction.

A. "You are more likely to get it if living in crowded conditions.” B. “It can be caught while getting a tattoo." C. "Poor handwashing of restaurant workers may lead to its transmission.” D. “The disease is passed person to person through casual contact."

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.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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