Author Question: What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease? ... (Read 44 times)

penza · **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.

mammy1697 · **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.