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A child with Hirschsprung disease is being discharged after Soave endorectal pull-through procedure for colostomy closure. Which of these measures should the nurse include in the home care plan?

1. Refer the parents to an enterostomal therapist for ostomy care
2. Teach parents how to perform weekly rectal irrigations
3. Teach parents signs and symptoms of infection
4. Teach parents PCA pain-control methods


It is important that any signs of infection be reported at once. After Soave procedure, the colostomy is usually closed and normal bowel function is expected. Remember that the stem states for colostomy closure, even if the medical name of the procedure is not recalled. This should help to eliminate most of the options.


Member since: April 2011
(Boynton Beach,FL) Original question source

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