Author Question: A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should ... (Read 113 times)

sjones · **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.

iceage · **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.