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 A

Explanation

Choice A rationale:

After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.

Choice B rationale:

Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.

Choice C rationale:

Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.

Choice D rationale:

While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.

A. "We will know our baby has had enough breast milk when she has 3 wet diapers a day.". B. "To help her sleep through the night, we will give her rice cereal in her formula before bedtime.". C. "We need to mix her formula with the correct amount of cow's milk for her brain development.". D. "We will know our newborn is hungry when she starts to root, suck and put her fingers in her mouth.".

Correct Answer is D

Explanation

Choice A rationale:

Wet diapers are a sign of hydration, not necessarily nutrition sufficiency.

Choice B rationale:

Introducing solids too early can lead to various issues; it's not linked to sleep improvement.

Choice C rationale:

Cow's milk isn't suitable for a newborn's consumption due to the potential for allergies and digestive issues.

Choice D rationale:

This choice accurately reflects hunger cues in a newborn, demonstrating an understanding of proper feeding.

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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

The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Correct Answer is A

Explanation

What statement made by the caregivers reflects an understanding of proper nutrition for their newborn?

Correct Answer is D

Explanation

When assessing an infant with moderate dehydration, a nurse would expect which assessment findings?

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