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.
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