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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hyperventilation can be a sign of oxygen toxicity as the body attempts to balance oxygen and carbon dioxide levels.
Choice B reason: Increased blood pressure is not typically a direct sign of oxygen toxicity; it may be related to other underlying conditions.
Choice C reason: Decreased PaCO2 can be a result of hyperventilation, which is a compensatory mechanism in response to oxygen toxicity.
Choice D reason: Unconsciousness can be a severe sign of oxygen toxicity, indicating a high level of oxygen in the blood affecting brain function.
Correct Answer is C
Explanation
Choice A reason: The FACES scale is not typically used for infants as they cannot verbally express or select a face that correlates with their pain level.
Choice B reason: The Oucher scale requires a child to point to a face that shows how much pain they are feeling, which is not suitable for infants who cannot communicate their pain verbally.
Choice C reason: The FLACC scale is appropriate for infants as it assesses pain based on five categories of behavior: Facial expression, Leg movement, Activity, Cry, and Consolability.
Choice D reason: The Non-communicating children's pain checklist is designed for children with cognitive impairments and is not the best choice for assessing pain in infants.
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