Which of these assessments is the priority for an infant who is diagnosed with Hirschsprung disease?

Total white blood cell count 7,000/mm.

Serum potassium 4.2 mEq/L.

Nonbilious vomiting.

Watery diarrhea.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While monitoring the total white blood cell count is important, it is not the priority assessment for a child with Hirschsprung disease. The disease primarily affects the gastrointestinal system.

Choice B rationale:

Serum potassium level within the normal range (4.2 mEq/L) is relevant, but it doesn't take precedence over assessing symptoms directly related to Hirschsprung disease.

Choice C rationale:

Nonbilious vomiting could indicate a bowel obstruction, a potential complication of Hirschsprung disease. Prompt assessment is necessary to prevent further complications.

Choice D rationale:

Watery diarrhea might occur in Hirschsprung disease, but it's not as urgent as addressing vomiting, which could indicate a more immediate problem like bowel obstruction.

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Correct Answer is ["B","C"]

Explanation

Choice A rationale:
Hypoplastic left heart syndrome involves inadequate development of the left side of the heart, leading to systemic hypoperfusion. It is characterized by decreased pulmonary blood flow due to underdeveloped left heart structures.
Choice B rationale:
Tetralogy of Fallot is characterized by obstruction to blood flow, specifically pulmonary stenosis, which obstructs blood flow from the right ventricle to the pulmonary artery.
Choice C rationale:
Atrial Septal Defect (ASD) is a left-to-right shunt, leading to increased pulmonary blood flow. This occurs because oxygenated blood from the left atrium flows back into the right atrium and then into the pulmonary circulation.
Choice D rationale:
Aortic Stenosis is not correctly matched with its hemodynamic classification. Aortic stenosis involves obstruction to blood flow from the left ventricle to the aorta.

A. "We will return to the hospital if my child spits up blood.". B. "I'll give my child cherry gelatin since that is her favorite.". C. "We will return to the hospital if my child develops difficulty breathing.". D. "I'll have my child rinse her mouth frequently with water to prevent a bad breath odor.".

Correct Answer is B

Explanation

Choice A rationale:

Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.

Choice B rationale:

Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.

Choice C rationale:

Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.

Choice D rationale:

Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.

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Which of these assessments is the priority for an infant who is diagnosed with Hirschsprung disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

Correct Answer is ["B","C"]

Explanation

The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

Correct Answer is B

Explanation

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