Which therapeutic management treatment is implemented for children with Hirschsprung disease?
Low-fiber diet
Daily enemas
Permanent colostomy
Surgical removal of the aganglionic colon
The Correct Answer is D
A. A low-fiber diet is not appropriate for Hirschsprung disease, as it can worsen constipation and other symptoms.
B. Daily enemas are typically used for symptom management, but they do not address the underlying cause of the disease.
C. While a colostomy may be performed in some cases, it is usually not permanent. Surgical removal of the aganglionic portion of the colon is the primary treatment.
D. The definitive treatment for Hirschsprung disease is the surgical removal of the aganglionic portion of the colon to allow normal bowel function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While stimulation is important, the priority in this case is ensuring the infant’s safety and preventing further injury to the defect.
B. Education is vital but secondary to the immediate physical care needs of the infant.
C. Promoting bonding is important but does not take precedence over maintaining the integrity of the sac.
D. Maintaining the integrity of the sac is the highest priority to prevent infection and further neurological damage.
Correct Answer is B
Explanation
A. Typically, infants are kept NPO for 1-2 hours before a lumbar puncture, not 6 hours.
B. Holding the infant’s chin to the chest and knees to the abdomen during the lumbar puncture is the correct positioning. This position opens the intervertebral spaces and allows for easier access to the spinal cord.
C. Eutectic mixture of lidocaine and prilocaine (EMLA) cream should be applied 60 minutes before the procedure for effective local anesthesia, not 15 minutes.
D. After the procedure, the infant should be placed flat to avoid pressure on the lumbar area, not in an infant seat. The infant should be positioned on their back or side to prevent strain.
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