A child who has just had definitive repair of a high rectal malformation is to be discharged.What should the nurse address in the discharge preparation of this family?
A) Safe administration of daily enemas
B) Necessity of firm stools to keep suture line clean
C) Bowel training beginning as soon as the child returns home
D) Changes in stooling patterns to report to the practitioner

Question

Quizplus · Accepted Answer

The parents are taught to notify the practitioner if any signs of an anal stricture or other complications develop.Constipation is avoided because a firm stool will place strain on the suture line.Daily enemas are contraindicated after surgical repair of a rectal malformation.Fiber and stool softeners are often given to keep stools soft and avoid tension on the suture line.The child needs to recover from the surgical procedure.Then bowel training may begin,depending on the child's developmental and physiologic readiness.

A Child Who Has Just Had Definitive Repair of a High