A child weighing 44 pounds has wrist pain after falling from a skateboard. The healthcare provider prescribes pediatric ibuprofen. After consulting the drug reference material, the nurse knows that the recommended dose range is 5 to 10 mg/kg every 6 to 8 hours for a maximum of 40 mg/kg/day. What is the maximum daily dose for this child? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)

A.Teaching how to perform testicular self-examinations is appropriate. Cryptorchidism refers to the condition in which one or both testicles do not descend into the scrotum. Orchiopexy is a surgical procedure used to correct cryptorchidism by placing the testicle(s) into the scrotum. While the primary purpose of orchiopexy is to ensure proper testicular development and function, it's important for individuals with a history of cryptorchidism and orchiopexy to be aware of their testicular health.
Teaching how to perform testicular self-examinations is an important aspect of anticipatory guidance. This education empowers the adolescent to monitor for any changes or abnormalities in the testicles, which may include signs of testicular cancer or other issues. Early detection and prompt medical attention can lead to better outcomes.

B.Advising to avoid athletics to prevent injury is inappropriate. While avoiding injury is important, participation in athletics is generally safe after orchiopexy. This option does not directly address the specific concern related to testicular health.

C.Assessing knowledge of pubertal signs inappropriate. While assessing knowledge of pubertal signs is important, it does not directly address the adolescent's history of orchiopexy.

D. Educating about erectile dysfunction is inappropriate. Erectile dysfunction is not typically a primary concern in adolescents with a history of orchiopexy. This option does not provide relevant anticipatory guidance for this specific situation.

Correct answer: D

D. Risk for infection related to impaired skin integrity: Bladder exstrophy exposes the bladder to the external environment, significantly increasing the risk of infection. This is a critical concern that requires immediate attention to prevent serious complications.

Incorrect:

A. Knowledge deficit related to caring for the infant: While educating the parents about caring for an infant with bladder exstrophy is important, it is not the highest priority compared to preventing infection.

B. Risk for impaired parenting related to appearance of the infant: While the appearance of the infant may be challenging for parents, addressing the immediate risk of infection is more critical.

C. Altered urinary elimination related to exposure of the bladder: This is a known consequence of bladder exstrophy and is addressed through surgical intervention and ongoing care. However, preventing infection is the most immediate priority.