Which statement from a parent of a 1-month-old infant undergoing initial surgery for Hirschsprung’s disease indicates understanding of the surgery’s goal?

“I’m glad that the ostomy is only temporary.”.

“The operation will straighten out the kink in the intestine.”.

“I want to learn how to use the feeding tube as soon as possible.”.

“I’m glad my child will have normal bowel movements now.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The goal of surgery for Hirschsprung disease is to remove the diseased section of the intestine and then pull the healthy portion of this organ down to the anus. This is typically achieved through a type of surgery called a pull-through procedure. In some cases, doctors recommend ostomy surgery of the bowel followed by a pull-through procedure. During ostomy surgery, surgeons create a stoma on a child’s abdomen and connect the stoma to the large or small intestine. After ostomy surgery, waste will leave the child’s body through the stoma. The stoma is usually temporary. In most cases, surgeons can later close the stoma and connect the healthy part of the intestine to the anus. Waste will move through the intestines, and stool will pass through the anus again. Therefore, the statement “I’m glad that the ostomy is only temporary” indicates understanding of the surgery’s goal.
Choice B rationale
The operation for Hirschsprung’s disease does not involve straightening out a kink in the intestine. Instead, it involves removing the part of the large intestine that is missing nerve cells and then connecting the healthy part of the large intestine to the anus.
Choice C rationale
The use of a feeding tube is not typically associated with the initial surgery for Hirschsprung’s disease. The surgery involves removing the diseased section of the intestine and then pulling the healthy portion of this organ down to the anus.
Choice D rationale
While the ultimate goal of the surgery is to enable normal bowel movements, it is important to note that about half of children may have ongoing problems after surgery. These problems may include constipation and, in some cases, other symptoms of intestinal obstruction, such as a swollen abdomen or vomiting.

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Correct Answer is ["1170 "]

Explanation

Step 1 is to convert all fluid intake to mL.

Using the conversion factor 1 oz = 30 mL7 and 1 cup

= 240 mL8, we get: 1 cup of coffee = 240 mL 4 oz of orange juice = 4 × 30 mL = 120 mL 3 oz of water = 3 × 30 mL = 90 mL 1 cup of flavored gelatin = 240 mL 1 cup of tea = 240 mL 5 oz of broth = 5 × 30 mL = 150 mL 3 oz of water = 3 × 30 mL = 90 mL Step 2 is to add up all the mL values: 240 mL (coffee) + 120 mL (orange juice) + 90 mL (water) + 240 mL (gelatin) + 240 mL(tea) + 150 mL (broth) + 90 mL (water) = 1170 mL So, the nurse should record a fluid intake of 1170 mL.

A. Bradycardia B. Hyperactive bowel sounds C. WBC 17,000/mm D. Left lower quadrant abdominal pain

Correct Answer is C

Explanation

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically associated with acute appendicitis. In fact, tachycardia, or a faster than normal heart rate, may occur due to the body’s response to inflammation and infection.
Choice B rationale
Hyperactive bowel sounds are not a typical finding in acute appendicitis. In fact, bowel sounds may be normal or decreased due to the inflammatory process.
Choice C rationale
A white blood cell (WBC) count of 17,000/mm is higher than the normal range, indicating the presence of an infection or inflammation in the body. This is a common finding in acute appendicitis.
Choice D rationale
Pain from appendicitis is typically located in the right lower quadrant of the abdomen, not the left.

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Which statement from a parent of a 1-month-old infant undergoing initial surgery for Hirschsprung’s disease indicates understanding of the surgery’s goal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How many mL of fluid intake should the nurse record for a client who consumed 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water during a 4-hour period? (Round the answer to the nearest whole number)

Correct Answer is ["1170 "]

Explanation

A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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