Which of the following should the nurse do first after noting that the child with Hirschsprung disease has a fever and watery explosive diarrhea?

Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea?

     A. Notify the physician immediately.

     B. Administer antidiarrheal medications.

     C. Monitor child every 30 minutes.

     D. Nothing, this is characteristic of Hirschsprung disease.

Correct Answer: A. Notify the physician immediately.


For the child with Hirschsprung disease, fever and explosive diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the physician should be notified immediately.


Option B: Generally, because of the intestinal obstruction and inadequate propulsive intestinal movement, antidiarrheals are not used to treat Hirschsprung disease.

Option C: The child is acutely ill and requires intervention, with monitoring more frequently than every 30 minutes.

Option D: Hirschsprung disease typically presents with chronic constipation. Hirschsprung’s disease (congenital megacolon) is caused by the failed migration of colonic ganglion cells during gestation. Varying lengths of the distal colon are unable to relax, causing functional colonic obstruction.


6.Which of the following should thenurse do first after noting that achild with Hirschsprung disease hasa fever and watery explosivediarrhea?a. Notify the physician immediatelyb. Administer antidiarrheal medicationsc. Monitor child ever 30 minutesd. Nothing, this is characteristic ofHirschsprung disease

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Which of the following should the nurse do first after noting that the child with Hirschsprung disease has a fever and watery explosive diarrhea?

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Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea?

Option B: For the child with Hirschsprung's disease, fever and explosive diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the physician should be notified directly.

Which of the following nursing diagnoses would be inappropriate for the infant Withgastroesophageal reflux GER )?

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When conducting an assessment to a child with intussusception which of the following would least likely provide accurate information?

1. Will is being assessed by Nurse Lucas for possible intussusception; which of the following would be least likely to provide valuable information? Option C: Because intussusception is not believed to have a familial tendency, obtaining a family history would provide the least amount of information.

What occurs in the gastrointestinal system of the child with Hirschsprung disease?

In children with Hirschsprung's disease, nerves fail to form in all or part of the large intestine (colon). Waste from digestion cannot pass through the part of the colon lacking nerve tissue. The normal colon swells with blocked stool.