A 3-year-old child with Hirschsprung's disease is hospitalized ...

[piesebel]

A 3-year-old child with Hirschsprung's disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse should recognize that preparing this child psychologically is:
 
  a. Not necessary because of child's age.
  b. Not necessary because the colostomy is temporary.
  c. Necessary because it will be an adjustment.
  d. Necessary because the child must deal with a negative body image.

Question 2

The nurse is explaining to a parent how to care for a child with vomiting associated with a viral illness. The nurse should include:
 
  a. Avoiding carbohydrate-containing liquids.
  b. Giving nothing by mouth for 24 hours.
  c. Brushing teeth or rinsing mouth after vomiting.
  d. Giving plain water until vomiting ceases for at least 24 hours.

[mcabuhat]

Answer to Question 1

ANS: C
The child's age dictates the type and extent of psychologic preparation. When a colostomy is performed, the child who is at least preschool age is told about the procedure and what to expect in concrete terms with the use of visual aids. It is necessary to prepare this age child for procedures. The preschooler is not yet concerned with body image.

Answer to Question 2

ANS: C
It is important to emphasize the need for the child to brush the teeth or rinse the mouth after vomiting to dilute the hydrochloric acid that comes in contact with the teeth. Administration of a glucose-electrolyte solution to an alert child will help restore water and electrolytes satisfactorily. It is important to include carbohydrates to spare body protein and avoid ketosis.

[piesebel]

Thank you

[mcabuhat]

Happy to help you