This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should ... (Read 116 times)

sjones

  • Hero Member
  • *****
  • Posts: 520
on: Jun 28, 2018
A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include?
 
  a. Dilating the stoma
  b. Assessing bowel function
  c. Limitation of physical activities
  d. Measures to prevent prolapse of the rectum

Question 2

What is the purpose in using cimetidine (Tagamet) for gastroesophageal reflux?
 
  a. The medication reduces gastric acid secretion.
  b. The medication neutralizes the acid in the stomach.
  c. The medication increases the rate of gastric emptying time.
  d. The medication coats the lining of the stomach and esophagus.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

iceage

  • Guest
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
In the postoperative period, the nurse involves the parents in the care of the child with a temporary colostomy, allowing them to help with feedings and observe for signs of wound infection or irregular passage of stool (constipation or true incontinence). Some children will require daily anal dilatations in the postoperative period to avoid anastomotic strictures but not stoma dilatations. Physical activities should be encouraged. There is not a risk of prolapse of the rectum in Hirschsprung disease, just strictures.

Answer to Question 2

ANS: A
Pharmacologic therapy may be used to treat infants and children with gastroesophageal reflux disease. Both H2-receptor antagonists (cimetidine Tagamet, ranitidine Zantac, or famotidine Pepcid) and proton pump inhibitors (esomeprazole Nexium, lansoprazole Prevacid, omeprazole Prilosec, pantoprazole Protonix, and rabeprazole Aciphex) reduce gastric hydrochloric acid secretion.


sjones

  • Member
  • Posts: 520
Reply 2 on: Jun 28, 2018
Excellent

dyrone

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Lyme Disease Concept Map Lyme Disease Concept Map
Crohn’s disease Crohn’s disease
To clear an obstructed airway in an infant (A) use chest thrusts followed by (B) back blows. To clear an obstructed airway in an infant (A) use chest thrusts followed by (B) back blows.
Peptic ulcer disease (PUD). Peptic ulcer disease (PUD).
At 19 months, Merr would clearly pass the 17-month item on the Bayley Scales At 19 months, Merr would clearly pass the 17-month item on the Bayley Scales
Jane was due to make loan payments of S1872 nine months ago, S3074 five month ago, and S498 in ... Jane was due to make loan payments of S1872 nine months ago, S3074 five month ago, and S498 in ...
Video: Congenital Heart Defects Animation

For a complete list of videos, visit our video library