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Author Question: A child who has just had definitive repair of a high rectal malformation is to be discharged. Which ... (Read 101 times)

lbcchick

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on: Jun 28, 2018
A child who has just had definitive repair of a high rectal malformation is to be discharged. Which should the nurse address in the discharge preparation of this family? (Select all that apply.)
 
  a. Perineal and wound care
  b. Necessity of firm stools to keep suture line clean
  c. Bowel training beginning as soon as child returns home
  d. Reporting any changes in stooling patterns to practitioner
  e. Use of diet modification to prevent constipation

Question 2

A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet?
 
  a. To rule out lactose intolerance
  b. To rule out celiac disease
  c. To rule out sensitivity to high sugar content
  d. To rule out peptic ulcer disease


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guyanai

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

ANS: A, D, E
Wound care instruction is necessary in a child who is being discharged after surgery. The parents are taught to notify the practitioner if any signs of an anal stricture or other complications develop. Constipation is avoided, since a firm stool will place strain on the suture line. Fiber and stool softeners are often given to keep stools soft and avoid tension on the suture line. The child needs to recover from the surgical procedure. Then bowel training may begin, depending on the child's developmental and physiologic readiness.

Answer to Question 2

ANS: A
Treatment for RAP involves providing reassurance and reducing or eliminating symptoms. Dietary modifications may include removal of dairy products to rule out lactose intolerance. Fructose is eliminated to rule out sensitivity to high sugar content and gluten is removed to rule out celiac disease. A dairy-free diet would not rule out peptic ulcer disease.


lbcchick

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Reply #2 on: Jun 28, 2018
Correct answers!


guyanai

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Reply #3 on: Jun 28, 2018
Great! Please up vote :D


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