Author Question: The nurse is providing some teaching to the parents of a 2-year-old child who has had surgery to ... (Read 107 times)

Sportsfan2111 · **on:** Jun 27, 2018

The nurse is providing some teaching to the parents of a 2-year-old child who has had surgery to correct an anorectal malformation. The nurse will advise the parents or caregivers that toilet training will:

a. likely be delayed c. be no different than for other toddlers
b. require help from an expert d. be easier

Question 2

Which of the following interventions is most important then the baby has surgery to correct a low anorectal malformation?

a. meticulous skin care c. keeping the anal area covered
b. pushing fluids d. high-fiber diet

xiazhe · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

Feedback
A Correct. The nurse is providing some teaching to the parents of a 2-year-old child who has had surgery to correct an anorectal malformation. The nurse will advise the parents or caregivers that toilet training will likely be delayed and children may have trouble with this developmental task. Their patience and understanding of the child is essential at this time.
B Incorrect. The nurse will advise the parents or caregivers that toilet training will probably not require help from an expert.
C Incorrect. The nurse will advise the parents or caregivers that toilet training will be different than for other toddlers.
D Incorrect. The nurse will advise the parents or caregivers that toilet training will not be easier.

Answer to Question 2

A

Feedback
A Correct. Low anorectal malformations are corrected by creating an anal opening followed by anal dilatation to prevent stenosis. The most important postoperative intervention is preventing infection of the perineal and anal wounds by meticulous skin care. The surgical incisions are at high risk for infection from urine and stool.
B Incorrect. Pushing fluids is not the most important postoperative intervention although adequate fluid intake will help the child achieve normal bowel activity.
C Incorrect. Keeping the anal area covered is not the most important postoperative intervention.
D Incorrect. A high-fiber diet is not the most important postoperative intervention although adequate fiber will help the child achieve normal bowel activity.