NUR 353 Exam 3
What should the plan of care for a newborn with hypospadias include?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed
-The parents need to know why circumcision should not be performed. The foreskin
may be needed for repair and reconstruction of the penis. A cystostomy tube is not
inserted, because there is no interference with voiding. Hypospadias is not a genetic
disorder, although there appears to be some evidence that it is familial. The penis is
generally wrapped in petrolatum gauze after, not before, surgical correction of
hypospadias.
The day after undergoing abdominal appendectomy a school-aged child is prepared for
ambulation. Which nursing action would be most effective before the start of
ambulation?
1
Providing a rest period
2
Offering a reward for walking
3
Encouraging use of the spirometer
4
Administering the prescribed pain medication
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
1
Frequency of crying
2
Amount of oral intake
3
Characteristics of stools
4
Absence of bowel sounds
-Because intussusception creates intestinal obstruction in which the intestine
"telescopes" and becomes trapped, passage of intestinal contents is lessened; stools
are red and look like currant jelly because of the mixing of stool with blood and mucus.
bowel sounds are not affected