A baby boy is circumcised on the day of discharge. Which observation should the nurse make prior to the infant’s discharge?.
The time and amount of the first post-procedure voiding.
The erectile ability of the penis.
The position of the urethral opening on the penis.
The presence of a small amount of white-yellow exudate around the glans tissue.
The Correct Answer is A
This is because circumcision is a surgical procedure that involves cutting off the foreskin of the penis, which may affect the urinary function of the baby. The nurse should make sure that the baby can urinate normally and without pain after the circumcision.
The amount of urine should be adequate for the baby’s weight and hydration status.
Choice B is wrong because the erectile ability of the penis is not affected by circumcision and is not a priority for discharge planning.
Choice C is wrong because the position of the urethral opening on the penis is not related to circumcision and should be assessed at birth, not at discharge.
Choice D is wrong because the presence of a small amount of white-yellow exudate around the glans tissue is normal and expected after circumcision. It is part of the healing process and does not indicate infection. The nurse should instruct the parents on how to care for the circumcised penis and when to seek medical attention if there are signs of complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Empty your bladder prior to the test.This is because a full bladder can interfere with the insertion of the needle and increase the risk of complications.Amniocentesis is a test that involves removing and testing a small sample of cells from amniotic fluid, the fluid that surrounds the baby in the womb.It is done to check for genetic or chromosomal conditions, such as Down’s syndrome, Edwards’ syndrome or Patau’s syndrome.
Choice A is wrong because there is no need to remain flat in bed for six hours after the test.You can resume your normal activities after a few hours of rest.
Choice B is wrong because vaginal bleeding is not a normal outcome of amniocentesis.If you experience any bleeding, leaking of fluid, fever or severe pain after the test, you should contact your doctor immediately.
Choice D is wrong because there is no restriction on eating before the test.You can have your normal meals and drinks before amniocentesis.
Correct Answer is C
Explanation
The correct answer is choice C. Reminding her that she should be happy that one child survived and is healthy is the least helpful nursing action in supporting the woman as she copes with her loss.
This statement minimizes her grief and implies that she should not feel sad about the deceased twin.
It also disregards her attachment to both babies and her need to mourn the loss of one of them.
Choice A is wrong because offering her the opportunity for counseling to help her grieve is a helpful nursing action that recognizes her emotional distress and provides her with professional support.
Choice B is wrong because encouraging the woman to hold the deceased twin as well as the living twin is a helpful nursing action that allows her to acknowledge and bond with both babies and to create memories that may facilitate healing.
Choice D is wrong because assisting the woman to take pictures of both babies is a helpful nursing action that provides her with tangible mementos of her twins and honors their
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