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. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.
B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.
C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.
D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.
Correct Answer is A
Explanation
A. Preschoolers (ages 3-5) engage in imaginative play, where they create stories and use objects or toys in creative ways. This is a key part of their cognitive and social development.
B. While some preschoolers may begin to show an interest in collecting items, it is more common in school-age children.
C. The need for privacy typically emerges in adolescence, not during the preschool years.
D. Preschoolers are still developing emotional regulation and may struggle with controlling impulses.
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