A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?
Prepare the child for surgery.
Retract the foreskin and cleanse several times daily.
Refer the family for genetic counseling.
Explain to the parents that the issue will self-resolve.
The Correct Answer is D
Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.
Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.
Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.
Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hyperactivity is not typically associated with chronic renal failure in children. Instead, children may experience fatigue and lethargy due to anemia and the overall decreased function of the kidneys.
Choice B reason: Weight gain can occur in chronic renal failure due to fluid retention; however, it is not as characteristic as delayed growth, which is a direct result of the disease's impact on the child's development.
Choice C reason: Delayed growth is a common finding in children with chronic renal failure due to various factors, including metabolic imbalances, bone disorders, and malnutrition, all of which can impede normal growth.
Choice D reason: A flushed face is not a typical finding in chronic renal failure. More common are signs related to fluid overload, such as swelling around the eyes, feet, and ankles, and symptoms of uremia like pallor.
Correct Answer is D
Explanation
Choice A reason: Preschool-age children are beginning to understand causality, but they do not fully grasp the cause of illnesses, which often involves complex biological processes.
Choice B reason: While preschoolers are becoming more aware of their bodies, they typically do not have a detailed understanding of body functioning.
Choice C reason: Preschoolers may describe how they feel when they are ill, but they usually cannot accurately describe the manifestations of illnesses.
Choice D reason: Preschoolers often engage in magical thinking, where they believe their thoughts can cause events. This is a normal part of their cognitive development and can include relating fears to magical thinking.
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