A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

Initiate bed rest.

Prepare the family for surgery.

Place an NG tube for decompression.

Encourage a high-fiber, low-protein, low-calorie diet.

Answer and Explanation

The Correct Answer is B

Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.

Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.

Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.

Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.

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Correct Answer is D

Explanation

Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.

Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.

Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.

Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.

A. Administer dornase alfa daily. B. Place the child in an upright position. C. Administer bronchodilators. D. Perform chest percussion. E. Monitor oxygen saturation.

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

Explanation

Choice A reason: Dornase alfa is used to break down mucus and is beneficial for children with cystic fibrosis, not typically prescribed for asthma.

Choice B reason: Placing a child in an upright position can help ease breathing during an asthma attack by reducing pressure on the diaphragm.

Choice C reason: Bronchodilators are medications that help open the airways and are a mainstay in the treatment of asthma.

Choice D reason: Chest percussion can help loosen mucus in the lungs; however, it is not commonly used in the routine management of asthma.

Choice E reason: Monitoring oxygen saturation is crucial in assessing the severity of an asthma attack and determining the effectiveness of treatment.

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A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

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

Explanation

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