The nurse is reviewing the client's medical record and notes a diagnosis of Hirschsprung's Disease. Which of the following correlates to this illness?
The intestine is twisted around itself causing severe pain
The child's intestine has a large blockage of scar tissue
The child's intestine has slipped inside of itself.
The intestine is missing crucial nerves to aid in peristalsis
The Correct Answer is D
A. The intestine is twisted around itself causing severe pain: This describes volvulus, a different condition that causes intestinal obstruction and ischemia.
B. The child's intestine has a large blockage of scar tissue: This describes intestinal strictures, which can occur due to Crohn’s disease or previous surgery, not Hirschsprung’s disease.
C. The child's intestine has slipped inside of itself: This describes intussusception, where one part of the intestine telescopes into another, causing obstruction.
D. The intestine is missing crucial nerves to aid in peristalsis: Hirschsprung’s disease is a congenital disorder where the ganglion cells (nerve cells responsible for peristalsis) are absent in parts of the intestine, leading to obstruction and difficulty passing stool.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The ileostomy is temporary and can be reversed after 3-4 months.": A total colectomy with ileostomy is typically permanent unless the client is undergoing a two-stage procedure to create a J-pouch.
B. "This procedure will slow down the number of diarrhea stools you pass per rectum.": A total colectomy removes the colon, so stool will no longer pass per rectum. Instead, stool is collected in an external ileostomy bag.
C. "Stool produced by the ileostomy will be firm and require manual removal to drain.": Stool from an ileostomy is liquid to semi-formed due to the lack of water absorption. It does not require manual removal.
D. "This procedure is curative as it removes the part of the bowel affected by the disease.": Ulcerative colitis only affects the colon and rectum. A total colectomy removes the diseased portion, effectively curing the condition.
Correct Answer is C
Explanation
A. Dysphagia: Dysphagia (difficulty swallowing) is unrelated to diverticulitis; it is more common in esophageal disorders.
B. Crohn’s disease: Crohn’s disease is a separate chronic inflammatory bowel disease (IBD), not a complication of diverticulitis.
C. Peritonitis: Peritonitis is a life-threatening complication of diverticulitis. If an inflamed diverticulum perforates, stool and bacteria spill into the peritoneal cavity, causing severe abdominal pain, rigidity, fever, and tachycardia.
D. Ulcerative colitis: Ulcerative colitis is another form of IBD, unrelated to diverticulitis.
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