Which assessment finding would the nurse expect in an infant with Hirschsprung's disease?
Constipation with foul-smelling, ribbon-like stool.
"Currant jelly" stool.
Passage of foul-smelling, fatty stools.
Mucoid, bloody diarrhea.
The Correct Answer is A
A. This is the correct answer. Hirschsprung's disease causes a lack of nerve cells in the colon, leading to difficulty with bowel movement. The result is constipation and the passage of small, ribbon-like stools due to the narrowed areas of the colon. The stool can also be foul-smelling.
B. "Currant jelly" stool is typically associated with intussusception, not Hirschsprung's disease. This stool appears red and mucus-like and suggests a bowel obstruction or infection.
C. Foul-smelling, fatty stools (steatorrhea) are characteristic of malabsorption disorders like cystic fibrosis, not Hirschsprung's disease.
D. Mucoid, bloody diarrhea is more common in conditions like infectious colitis or inflammatory bowel disease, not Hirschsprung's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Consuming a diet high in iron-rich foods, such as lean meats, beans, and leafy vegetables, can help prevent iron deficiency anemia.
B. Regular consumption of fortified cereals provides essential nutrients, including iron, which can help prevent anemia.
C. This is the correct answer. Excessive intake of cow's milk can be a risk factor for iron deficiency anemia in toddlers because cow's milk is low in iron and can interfere with iron absorption. Additionally, consuming large amounts of cow's milk can cause gastrointestinal blood loss, further contributing to iron deficiency.
D. While participating in physical activities is important for a toddler's growth and development, it does not directly relate to an increased risk for iron deficiency anemia.
Correct Answer is A
Explanation
A. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." is the correct explanation. Intussusception occurs when a part of the intestine telescopes into an adjacent section, causing a blockage that can cut off blood supply and lead to tissue death. This is a medical emergency requiring prompt treatment.
B. "Intussusception results from the twisting of the intestine, causing a blockage in the passage of food." is incorrect. While intussusception causes a blockage, it does not result from twisting; it involves one segment of the intestine sliding into another.
C. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." is incorrect. Intussusception is not congenital in nature; it can occur in otherwise healthy infants and children but is not a result of improper formation of the intestinal wall layers.
D. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." is inaccurate. Intussusception does not result from weakened abdominal muscles but rather from one part of the intestine slipping into another, which may cause the blockage and reduced blood flow.
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