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.”
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I am hungry and thirsty.": Hunger and thirst are not concerning and may occur after fasting or due to nausea resolution.
B. "My belly doesn't hurt anymore.": A sudden decrease in abdominal pain may indicate rupture of the appendix, leading to peritonitis—a life-threatening emergency.
C. "I am scared and I want to go home.": This is a common emotional response in children facing surgery and not indicative of a medical emergency.
D. "I'm tired and want to take a nap.": Fatigue could result from illness but is less concerning than the potential for appendiceal rupture.
Correct Answer is C
Explanation
A. Recovery from German measles 2 months ago: German measles (rubella) is not associated with glomerulonephritis.
B. Dysuria: While dysuria is a symptom of urinary tract infections, it does not directly cause glomerulonephritis.
C. A sore throat 2 weeks ago: Acute glomerulonephritis often follows a streptococcal infection, such as strep throat, typically within 1-3 weeks.
D. A history of allergy: Allergies are not a causative factor for glomerulonephritis.
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