A nurse is playing a board game with a client who suddenly becomes upset. The client throws the game on the floor and says, "I don't want to play anymore.”. What is the nurse's best response to this behavior?

Choice A rationale:

Planning for nurses to provide feedings is not necessary since this is not related to the nursing care plan and doesn't address the mother's concern.

Choice B rationale:

Reporting the finding to the health care provider is appropriate because vomiting after surgical repair of hypertrophic pyloric stenosis could indicate a potential complication or issue.

Choice C rationale:

Assuring the mother that vomiting after surgical repair is normal might not be accurate and could dismiss a potentially significant concern.

Choice D rationale:

Telling the mother it is all right to feel anxious doesn't address the vomiting concern directly and might not be the most pertinent response at this time.

Choice A rationale:

Ribbon-like stools are a classic sign of Hirschsprung's disease, indicating narrowed or obstructed bowel segments due to the absence of ganglion cells in the intestine's muscular layers.

Choice B rationale:

A distended abdomen is common in Hirschsprung's disease due to the accumulation of stool and gas in the narrowed segments of the intestine.

Choice C rationale:

Chronic constipation is a result of the dysfunctional intestinal motility caused by Hirschsprung's disease. The absence of ganglion cells leads to a lack of peristalsis and difficulty passing stools.

Choice D rationale:

Black and tarry stools are indicative of upper gastrointestinal bleeding, often caused by conditions like peptic ulcers. This finding is not directly related to Hirschsprung's disease.