What statement best describes Hirschsprung disease? a. The ...

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What statement best describes Hirschsprung disease?
 
  a. The colon has an aganglionic segment.
  b. It results in frequent evacuation of solids, liquid, and gas.
  c. The neonate passes excessive amounts of meconium.
  d. It results in excessive peristaltic movements within the gastrointestinal tract.

Question 2

What is a high-fiber food that the nurse should recommend for a child with chronic constipation?
 
  a. White rice
  b. Popcorn
  c. Fruit juice
  d. Ripe bananas

[chinwesucks]

Answer to Question 1

ANS: A
Mechanical obstruction in the colon results from a lack of innervation. In most cases, the aganglionic segment includes the rectum and some portion of the distal colon. There is decreased evacuation of the large intestine secondary to the aganglionic segment. Liquid stool may ooze around the blockage. The obstruction does not affect meconium production. The infant may not be able to pass the meconium stool. There is decreased movement in the colon.

Answer to Question 2

ANS: B
Popcorn is a high-fiber food. Refined rice is not a significant source of fiber. Unrefined brown rice is a fiber source. Fruit juices are not a significant source of fiber. Raw fruits, especially those with skins and seeds, other than ripe bananas, have high fiber.

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[bdobbins]

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