A nurse is caring for an infant who has a hydrocele.
Which of the following actions should the nurse take?
Refer the family for genetic counseling.
Retract the foreskin and cleanse it several times daily.
Prepare the child for surgery.
Explain to the parents that the issue will self-resolve.
The Correct Answer is D
Hydroceles are common in newborns and often go away without treatment by age.
Choice A is not correct because a hydrocele is not a genetic condition and does not require genetic counseling.
Choice B is not correct because retracting the foreskin and cleansing it several times daily is not necessary for a hydrocele.
Choice C is not correct because surgery is not always necessary for a hydrocele; it often goes away on its own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
7.5 mL/kg/hr.
This is the normal range of urinary output for infants, indicating adequate hydration and kidney function.
Choice A.
0.5 mL/kg/hr is too low and indicates severe dehydration or kidney failure.
Choice B.
15 mL/kg/hr is too high and indicates excessive fluid intake or diuretic use.
Choice C.
2 mL/kg/hr is also low and indicates moderate dehydration or kidney
impairment.
Therefore, choice D is the best answer to this question.
Correct Answer is A
Explanation
Nursing care planning goals for a child with acute glomerulonephritis are directed toward the excretion of excess fluid through urination.
Monitoring fluid status is very important and daily weights are an effective way to monitor fluid retention, as weight gain is the earliest sign of fluid retention.
Choice B, Educating the parents about potential complications, is important but not the nurse’s priority.
Choice C, Place the child on a no-salt-added diet, which may be part of the treatment
plan but is not the nurse’s priority.
Choice D, Maintaining a saline lock, may be necessary for administering medications but is not the nurse’s priority.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.