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 B
Explanation
A. Carrying a water bottle is appropriate as hydration is important, especially for those with spinal cord injuries who may have a higher risk of urinary tract infections.
B. For an adolescent with spina bifida, bladder function is often impaired, and intermittent catheterization is usually required 4-6 times a day to prevent urinary retention and infections. Twice a day may be insufficient.
C. Using a suppository for bowel management is a common and recommended practice for individuals with spina bifida.
D. Doing wheelchair exercises is an appropriate way to maintain muscle strength and prevent complications related to immobility.
Correct Answer is A
Explanation
A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.
B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.
C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.
D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.
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