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Author Question: What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease? ... (Read 97 times)

penza

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on: Jun 28, 2018
What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?
 
  a. Teaching how to irrigate the colostomy
  b. Protecting the skin around the colostomy
  c. Discussing the implications of a colostomy during puberty
  d. Using simple, straightforward language to prepare the child

Question 2

A preschool child needs a dressing change. To prepare the child, what strategy should the nurse implement?
 
  a. Explain the procedure using medical terminology.
  b. Plan a 30-minute teaching session.
  c. Give choices when possible but avoid delay.
  d. Allow time after the procedure for questions and discussion.


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mammy1697

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

ANS: B
Protection of the peristomal skin is a major priority. Well-fitting appliances and skin protectants are used. Teaching how to irrigate a colostomy is not necessary because colostomies are not irrigated in infants. The colostomy is usually reversed within 6 months to 1 year. The parents, not the infant, need to be prepared for the surgery.

Answer to Question 2

ANS: C
Involving children helps to gain their cooperation. Permitting choices gives them some measure of control. The other options would not be appropriate for a preschool child.


penza

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

amandalm

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Reply 3 on: Yesterday
Excellent

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