The parents of a boy diagnosed with Hirschsprung disease are ...

[geodog55]

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, I'm worried about having to care for our son's ostomy.. Which intervention would be most helpful for the parents?
 
  A) Explaining to them about the diagnosis and surgery
  B) Having a wound, ostomy, and continence nurse meet with them
  C) Reinforcing that the ostomy will be temporary
  D) Teaching them about the medications used to slow stool output

Question 2

The nurse is determining maintenance fluid requirements for a child who weighs 25 kg. How much fluid would the child need per day?
 
  A) 1,560 mL
  B) 1,600 mL
  C) 1,650 mL
  D) 1,700 mL

[xoxo123]

Answer to Question 1

B
Feedback:
Although explaining about the diagnosis and surgery, reinforcing that the ostomy will be temporary, and teaching them about medications would be appropriate, the parents are voicing concerns about caring for the ostomy. Therefore, having a wound, ostomy, and continence nurse meet with them would address these concerns and help them deal with the anxieties and care of a newly placed stoma.

Answer to Question 2

B
Feedback:
Using the following formula of 100 mL/kg for the first 10 kg, plus 50 mL/kg for the next 10 kg, and then 20 mL/kg for the remaining kg, the child would require (100  10) + (50  10) + (20  5) = 1,000 + 500 + 100 = 1,600 mL in 24 hours.

[geodog55]

Thank you

[xoxo123]

No problemo