A child is suspected of having Hirschsprung's disease. Which of the following assessment factors would support such a medical diagnosis?
1. History of constipation with large, foul-smelling stools
2. Continual bouts of foul-smelling diarrhea
3. Passage of a large amount of meconium in the newborn period
4. Clay-colored stools
1
Rationale:
1. This is the primary symptom of Hirschsprung's disease.
2. Diarrhea is not typical; obstruction is more likely.
3. Hirschsprung's disease is not associated with meconium.
4. Clay-colored stools do not occur with Hirschsprung's disease.
You might also like to view...
Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)?
A) Do not walk or drive after taking the drug B) Discontinue the use of alcohol C) Learn to self-administer the drug D) Take a laxative when needed
What is true about poverty in the United States?
1. The number of poor in the United States has decreased sharply in the last 10 years. 2. The number of people living in extreme poverty has increased in recent years. 3. The number of poor in the United States has increased sharply in the last 10 years. 4. The number of people living in extreme poverty has decreased in recent years.
The child the nurse would assess as showing behaviors indicative of psychopathology is
a. A, aged 3 months, who cries after feeding until burped and sucks her thumb. b. B, aged 6 months, who does not eat vegetables well and likes to be rocked. c. C, aged 3 years, who is mute, impassive toward adults, and twirls and flaps while walking. d. D, aged 4 years, who lisps and became enuretic after the birth of a sibling.
A 2-week-old infant vomits forcefully immediately after feeding for no apparent reason and is frequently constipated. These signs support which diagnosis?
a. Pyloric stenosis b. Meconium ileus c. Esophageal atresia d. Galactosemia