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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Ibuprofen can be used for fever, but it is important to check if the child has varicella before administering due to potential Reye's syndrome.

B. The child should stay home until all lesions have crusted over to prevent spreading the virus, even if the fever is gone.

C. Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.

D. Using cool or tepid water is acceptable for soothing itching; however, it does not specifically address the need for proper care during the contagious phase.

A. Encourage frequent fluids by mouth B. Encourage frequent voiding C. Wipe perineal area front to back D. Wear nylon underwear E. Complete the course of prescribed antibiotics

Correct Answer is ["A","B","C","E"]

Explanation

A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.

B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.

C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.

D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.

E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.

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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?

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Naxlex Comprehensive Predictor Exams

A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

Correct Answer is ["A","B","C","E"]

Explanation

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