A child has a nasogastric (NG) tube after surgery for ...

[Pineapplelove6]

A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is the purpose of the NG tube?
 
  a. Prevent spread of infection.
  b. Monitor electrolyte balance.
  c. Prevent abdominal distention.
  d. Maintain accurate record of output.

Question 2

A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. What should the therapeutic plan initially include?
 
  a. Bowel cleansing
  b. Dietary modification
  c. Structured toilet training
  d. Behavior modification

[smrerig]

Answer to Question 1

ANS: C
The NG tube is placed to suction out gastrointestinal secretions and prevent abdominal distention. The NG tube would not affect infection. Electrolyte content of the NG drainage can be monitored. Without the NG tube, there would be no drainage. After the NG tube is placed, it is important to maintain an accurate record of intake and output. This is not the reason for placement of the tube.

Answer to Question 2

ANS: A
The first step in the treatment of chronic constipation is to empty the bowel and allow the distended rectum to return to normal size. Dietary modification is an important part of the treatment. Increased fiber and fluids should be gradually added to the child's diet. A 2-year-old child is too young for structured toilet training. For an older child, a regular schedule for toileting should be established. Behavior modification is part of the overall treatment plan. The child practices releasing the anal sphincter and recognizing cues for defecation.

[Pineapplelove6]

TYSM

[jackie]

Excellent