What procedure is most appropriate for assessment of an abdominal ...

[V@ndy87]

What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?
 
  a. Measuring the abdomen after feedings
  b. Marking the point of measurement with a pen
  c. Measuring the circumference at the symphysis pubis
  d. Using a new tape measure with each assessment to ensure accuracy

Question 2

A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. How should the nurse prepare this child?
 
  a. It is unnecessary because of child's age.
  b. It is essential because it will be an adjustment.
  c. Preparation is not needed because the colostomy is temporary.
  d. Preparation is important because the child needs to deal with negative body image.

[sarahccccc]

Answer to Question 1

ANS: B
Pen marks on either side of the tape measure allow the nurse to measure the same spot on the child's abdomen at each assessment. The child most likely will be kept NPO (nothing by mouth) if a bowel obstruction is present. If the child is being fed, the assessment should be done before feedings. The symphysis pubis is too low. Usually the largest part of the abdomen is at the umbilicus. Leaving the tape measure in place reduces the trauma to the child.

Answer to Question 2

ANS: B
The child's age dictates the type and extent of psychologic preparation. When a colostomy is performed, it is necessary to prepare the child who is at least preschool age by telling him or her about the procedure and what to expect in concrete terms, with the use of visual aids. The preschooler is not yet concerned with body image.