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 C

Explanation

A. "Give your infant an oral rehydrating solution.": Rehydration is important but does not address the underlying issue of possible pyloric stenosis.
B. "Burp your child more frequently during feedings.": Burping does not resolve projectile vomiting, which may indicate a more serious condition.
C. "Bring your infant into the clinic today to be seen.": Projectile vomiting and post-feeding hunger are signs of pyloric stenosis, which requires prompt evaluation.
D. "You might want to try switching to a different formula.": Changing formula does not address the likely structural cause of vomiting.

A. Feed the infant half-strength formula for the first 48 hr. B. Remove elbow restraints while the infant is sleeping. C. Administer pain medication PRN for the first 48 hr. D. Keep the infant in a side-lying position.

Correct Answer is D

Explanation

A. Feed the infant half-strength formula for the first 48 hr: Feeding guidelines do not typically require diluted formula unless directed by the surgeon.
B. Remove elbow restraints while the infant is sleeping: Elbow restraints should remain in place to prevent the infant from touching the surgical site, even during sleep.
C. Administer pain medication PRN for the first 48 hr: Pain medication should be administered on a regular schedule initially to control pain effectively.
D. Keep the infant in a side-lying position: This position helps protect the surgical site and minimizes the risk of aspiration.

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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

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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