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

48. Which of the following should the nurse do first after noting that a childwith Hirschsprung disease has a fever and watery explosive diarrhea?A. Notify the physician immediatelyB. Administer antidiarrheal medicationsC. Monitor child ever 30 minutesD. Nothing, this is characteristic of Hirschsprung disease

49. A newborn’s failure to pass meconium within the first 24 hours after birthmay indicate which of the following?

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50. When assessing a child for possible intussusception, which of thefollowing would be least likely to provide valuable information?

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Answers and rationaleHere are the answers and rationale for this examination. If you have anydisputes or need clarifications, please direct them to the comments section.Tell us also your scores!1. D. The anterior fontanelle typically closes anywhere between 12 to 18months of age. Thus, assessing the anterior fontanelle as still being slightlyopen is a normal finding requiring no further action. Because it is normalfinding for this age, notifying he physician or performing additionalexaminations are inappropriate.2. D. Solid foods are not recommended before age 4 to 6 months because ofthe sucking reflex and the immaturity of the gastrointestinal tract andimmune system. Therefore, the earliest age at which to introduce foods is 4months. Any time earlier would be inappropriate.3. A. According to Erikson, infants need to have their needs met consistentlyand effectively to develop a sense of trust. An infant whose needs areconsistently unmet or who experiences significant delays in having them met,such as in the case of the infant of a substance-abusing mother, will develop asense of uncertainty, leading to mistrust of caregivers and the environment.Toddlers develop a sense of shame when their autonomy needs are not metconsistently. Preschoolers develop a sense of guilt when their sense ofinitiative is thwarted. Schoolagers develop a sense of inferiority when they donot develop a sense of industry.4. D. A busy box facilitates the fine motor development that occurs between4 and 6 months. Balloons are contraindicated because small children mayaspirate balloons. Because the button eyes of a teddy bear may detach andbe aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.5. B. Infants need to have their security needs met by being held andcuddled. At 2 months of age, they are unable to make the connectionbetween crying and attention. This association does not occur until lateinfancy or early toddlerhood. Letting the infant cry for a time before pickingup the infant or leaving the infant alone to cry herself to sleep interferes withmeeting the infant’s need for security at this very young age. Infants cry formany reasons. Assuming that the child s hungry may cause overfeedingproblems such as obesity.

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

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

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

Which of the following suggestions should the nurse offer the parents of a 4 year old boy who resist going to bed at night?