Which assessment data would cause the nurse to suspect that a 3-year-old child has Hirschsprung disease?

1. Clay-colored stools and dark urine
2. History of early passage of meconium in the newborn period
3. History of chronic, progressive constipation and failure to gain weight
4. Continual bouts of foul-smelling diarrhea


3
Explanation:
1. Clay-colored stools and dark urine are not associated with Hirschsprung disease.
2. The infant with Hirschsprung disease often has delayed meconium stools.
3. These are symptoms of Hirschsprung disease in an older infant or child.
4. Diarrhea is not typical; obstruction is more likely.

Nursing

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Which statements would the nurse manager interpret as indicating a nurse understands the critical thinking skills necessary for disaster management? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply. 1. "It is just like critical thinking in the emergency department or critical care unit, only done faster." 2. "The nurse's prioritization will be different in a disaster." 3. "Clinical judgment skills will be an essential part of nursing's contribution to disaster management." 4. "Decision making will basically be done by following established protocols." 5. "The nurse's abilities will make the difference in successful management of a disaster."

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Any infant at risk for having medical, developmental, or psychological problems is considered to be a:

What will be an ideal response?

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A nurse counsels a patient who is to begin taking gamma-hydroxybutyrate (Xyrem) for narcolepsy. It is important for the nurse to warn the patient that respiratory depression is a potential risk with concomitant use of:

a. alcohol. b. beta blockers. c. caffeine. d. nicotine.

Nursing

Bronchovesicular breath sounds are best heard over which area?

a. Midline over the trachea just below the larynx b. Fourth intercostal space, in the midclavicular line c. First and second intercostal spaces next to the sternum d. At the base of the lungs near the diaphragm

Nursing