The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?
The treatment for the disorder will be a surgical procedure
Your child will be treated with oral iron preparations to correct the anemia
Your child will receive counseling so the underlying concerns will be addressed
We will give enemas until clear and then teach you how to do these at home
The Correct Answer is A
A. The primary treatment for congenital aganglionic megacolon (Hirschsprung's disease) is surgical intervention to remove the affected segment of the bowel, allowing for normal bowel function and preventing complications such as bowel obstruction.
B. Oral iron preparations would not address the underlying condition of Hirschsprung's disease, which is related to the lack of nerve cells in the bowel.
C. While counseling may be beneficial for the caregivers regarding the diagnosis and care, it is not the primary treatment for Hirschsprung's disease.
D. While enemas may be used temporarily to relieve constipation, they are not a definitive treatment for the disease, which requires surgical correction.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.
B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.
C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.
D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.
E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.
Correct Answer is B
Explanation
A. Carrying an EpiPen is essential for children with peanut allergies in case of anaphylaxis.
B. This statement indicates a misunderstanding; parents should notify emergency services and seek immediate medical care after using the EpiPen, not just notify the physician's office the next business day.
C. Informing the school nurse about the child’s allergy is crucial for ensuring safety while at school.
D. Having a medical alert bracelet is a wise choice for quickly informing others of the child's allergy in emergencies.
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