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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Related Questions
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.
Correct Answer is B
Explanation
Choice A reason: Positioning a child supine after a tonsillectomy is not recommended due to the risk of respiratory complications. Elevating the head of the bed is preferred to prevent aspiration and facilitate breathing.
Choice B reason: Administering analgesics on a schedule is crucial for effective pain management. It helps maintain consistent pain relief, which is important for encouraging fluid intake and preventing dehydration.
Choice C reason: Encouraging a child to blow their nose gently after a tonsillectomy is not advised because it can increase the risk of bleeding. Instead, gentle mouth breathing and avoiding nose blowing are recommended.
Choice D reason: Offering orange juice after a tonsillectomy is not ideal as acidic beverages can irritate the throat. It's better to provide non-acidic fluids like water or apple juice to keep the child hydrated.
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