Which therapeutic management treatment is implemented for ...

[tsand2]

Which therapeutic management treatment is implemented for children with Hirschsprung disease?
 
  a. Daily enemas
  b. Low-fiber diet
  c. Permanent colostomy
  d. Surgical removal of affected section of bowel

Question 2

Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal allergies that are being treated with antihistamines. The nurse should suspect that the constipation is most likely caused by:
 
  a. diet.
  b. allergies.
  c. antihistamines.
  d. emotional factors.

[tjayeee]

Answer to Question 1

ANS: D
Most children with Hirschsprung disease require surgical rather than medical management. Surgery is done to remove the aganglionic portion of the bowel, relieve obstruction, and restore normal bowel motility and function of the internal anal sphincter. Preoperative management may include enemas and low-fiber, high-calorie, high-protein diet, until the child is physically ready for surgery. The colostomy that is created in Hirschsprung disease is usually temporary.

Answer to Question 2

ANS: C
Constipation may be associated with drugs such as antihistamines, antacids, diuretics, opioids, antiepileptics, and iron. Because this is the only known change in her habits, the addition of antihistamines is most likely the cause of the diarrhea. With a change in bowel habits, the role of any recently prescribed medications should be assessed.

[tsand2]

Excellent

[cpetit11]

Thanks for the timely response, appreciate it