A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Do not touch stent or dressings

Give tub bath after 48 hours

Maintain fluid restriction

Give anticholinergic medication

Answer and Explanation

The Correct Answer is A

A.   The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B.   Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C.   Fluid restriction is not necessary unless prescribed for another condition.
D.   Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

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Correct Answer is ["B","C","E"]

Explanation

A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

A. Upon auscultation, clear bilateral breath sounds. B. Dyspnea. C. Upon auscultation a machine-like murmur in the right upper sternal border. D. Cyanosis. E. Difficulty feeding

Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

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A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Correct Answer is ["B","C","E"]

Explanation

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

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