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The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure

A.

Abdominal surgery

B.

Enema with air infusion

C.

Ano-rectal pull-through procedure

D.

Colostomy

Answer and Explanation

The Correct Answer is B

A. While abdominal surgery may be needed in some cases of intussusception, non-surgical interventions are often attempted first.

B. An enema with air infusion (often a contrast enema) can be used to treat intussusception by helping to unfold the intestine, making it a commonly discussed procedure.

C. An ano-rectal pull-through procedure is not related to intussusception and is usually indicated for conditions like Hirschsprung's disease.

D. A colostomy may be necessary in cases of bowel necrosis or perforation but is not the first-line treatment for intussusception.


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Related Questions

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

Explanation

A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.

B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.

C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.

D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.

E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.

Correct Answer is D

Explanation

A. Blood pressure can fluctuate and may not accurately reflect fluid loss in an infant, especially in early stages of dehydration.

B. Respiratory rate may increase with distress but is not a direct indicator of fluid loss.

C. Skin integrity can show signs of dehydration, but it is not as definitive as changes in body weight.

D. Body weight is the most reliable indicator of fluid loss, as it reflects changes in fluid status directly and provides a clear measure for assessing hydration.

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