Which assessment finding should the nurse expect in an infant with Hirschsprung's disease?
a. "Currant jelly" stools
b. Constipation with passage of foul-smelling, ribbon-like stools
c. Foul-smelling, fatty stools
d. Diarrhea
B
Constipation results from the absence of ganglion cells in the rectum and colon and is present since the neonatal period with passage of frequent foul-smelling, ribbon-like, or pellet-like stools. "Currant jelly" stools are associated with intussusception. Foul-smelling, fatty stools are associated with cystic fibrosis and celiac disease. Diarrhea is not typically associated with Hirschsprung's disease but may result from impaction.
You might also like to view...
During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drumlike quality of the sounds across the quadrants. This type of sound indicates:
a. Constipation. b. Air-filled areas. c. Presence of a tumor. d. Presence of dense organs.
The nurse is caring for a male client who has a significant urinary narrowing secondary to an enlarged prostate. Which nursing action is best to relieve his urinary retention?
A) Use a 22 French catheter to remove urine from bladder. B) Teach the Credé's maneuver to remove urine from the bladder. C) Insert a coudé catheter to remove urine from the bladder. D) Use a straight-tipped catheter to remove urine from the bladder.
Determine how many tablets will be needed to give the following dose: A dose of 2.5 mg is ordered. Tablets labeled 1.25 mg are available
What will be an ideal response?
Usually the suckling of a neonate is sufficient to stimulate breast milk production; however, in the presence of inadequate stimulation which drug can be used to stimulate the ejection of milk?
a. oxytocin. c. dinoprostone. b. testosterone. d. diethylstilbestrol.