Which therapeutic management treatment is implemented for children with Hirschsprung disease?
Low-fiber diet
Daily enemas
Permanent colostomy
Surgical removal of the aganglionic colon
The Correct Answer is D
A. A low-fiber diet is not appropriate for Hirschsprung disease, as it can worsen constipation and other symptoms.
B. Daily enemas are typically used for symptom management, but they do not address the underlying cause of the disease.
C. While a colostomy may be performed in some cases, it is usually not permanent. Surgical removal of the aganglionic portion of the colon is the primary treatment.
D. The definitive treatment for Hirschsprung disease is the surgical removal of the aganglionic portion of the colon to allow normal bowel function.
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Related Questions
Correct Answer is C
Explanation
A. Rather than helping the child accept a loss of control, atraumatic care focuses on empowering the child and promoting a sense of control through participation in care and decision-making.
B. While pain management is crucial, the goal is not to have the child "accept" pain but to minimize it through interventions like distraction, pharmacologic pain relief, and comfort measures.
C. Preparing the child for unfamiliar treatments or procedures aligns with the principles of atraumatic care, which aim to reduce fear, anxiety, and physical and emotional distress. By offering developmentally appropriate explanations, the nurse helps the child feel more in control and reduces the traumatic impact of the experience.
D. Atraumatic care emphasizes maintaining parental involvement during hospitalization whenever possible. Preparing the child for separation does not align with atraumatic care principles, as separation is a source of stress that should be minimized.
Correct Answer is A
Explanation
A. "I am going to listen to your heart" is the most appropriate way to introduce the process of taking vital signs, as it is non-threatening and familiar to the child.
B. "Can you stand still while I feel how warm you are?" may be confusing to a toddler, as they might not understand what "feeling warm" means.
C. "Can I listen to your lungs?" might sound unfamiliar or intimidating to a toddler.
D. "Can I take your blood pressure now?" is a more advanced procedure that may cause anxiety and should be introduced after explaining the other vital signs.
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