A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.

“The operation will straighten out the kink in then intestine.”

“I want to learn how to use the feeding tube as soon as possible.”

“I’m glad my child will have bowel movements now.”

“I’m glad that the ostomy is only temporary.”

Answer and Explanation

The Correct Answer is D

A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.

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

Explanation

A. Whole grain cereals: While high in fiber, whole grains are not significant sources of potassium.
B. Organ meats: Organ meats like liver are high in potassium and should be avoided to prevent hyperkalemia.
C. Bananas: Bananas are rich in potassium and can exacerbate hyperkalemia.
D. Dairy Products: Dairy products contain potassium and should be limited in hyperkalemia.

A. An oral rehydrating solution, such as Pedialyte B. Small amounts of clear fluids such as gelatin C. Chicken soup because its high in sodium D. soft foods with rice, bananas, toast, and applesauce

Correct Answer is A

Explanation

A. An oral rehydrating solution, such as Pedialyte: Oral rehydration solutions are the best choice for managing dehydration and electrolyte imbalance during diarrhea.
B. Small amounts of clear fluids such as gelatin: Clear fluids alone, like gelatin, lack the necessary electrolytes to treat diarrhea-induced dehydration.
C. Chicken soup because it's high in sodium: Chicken soup may be too high in sodium and can lead to an electrolyte imbalance.
D. Soft foods with rice, bananas, toast, and applesauce: While suitable in recovery, these foods do not replace the immediate need for rehydration and electrolyte balance.

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A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia? Select all that apply

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Correct Answer is A

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