A nurse is educating a client about Ambiguous Genitalia. Which of the following statements shows the teaching has been effective?

I will not provide tub bath for at least 1 week after surgery.

I will perform tub bath after 3 days of surgery

This surgery will mutilate my body

I will engage in physical activities to recover early after the surgery

Answer and Explanation

The Correct Answer is A

A. I will not provide tub baths for at least 1 week after surgery: This helps prevent infection and allows the surgical site to heal.
B. I will perform tub baths after 3 days of surgery: Tub baths too soon after surgery increase the risk of infection.
C. This surgery will mutilate my body: This indicates poor understanding and requires further clarification and emotional support.
D. I will engage in physical activities to recover early after the surgery: Physical activities may be restricted postoperatively to allow healing.

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Correct Answer is D

Explanation

A. Assess fluid balance: Although assessment is important, rehydration takes priority to address the acute loss of fluids and electrolytes.
B. Maintain fluid therapy: Fluid therapy maintenance is secondary to initiating rehydration.
C. Introduce a regular diet: Diet modification is less critical than rehydration in the acute phase.
D. Rehydrate: Rehydration addresses the immediate risk of dehydration and electrolyte imbalance caused by severe diarrhea.

A. Feed the infant half-strength formula for the first 48 hr. B. Remove elbow restraints while the infant is sleeping. C. Administer pain medication PRN for the first 48 hr. D. Keep the infant in a side-lying position.

Correct Answer is D

Explanation

A. Feed the infant half-strength formula for the first 48 hr: Feeding guidelines do not typically require diluted formula unless directed by the surgeon.
B. Remove elbow restraints while the infant is sleeping: Elbow restraints should remain in place to prevent the infant from touching the surgical site, even during sleep.
C. Administer pain medication PRN for the first 48 hr: Pain medication should be administered on a regular schedule initially to control pain effectively.
D. Keep the infant in a side-lying position: This position helps protect the surgical site and minimizes the risk of aspiration.

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A nurse is educating a client about Ambiguous Genitalia. Which of the following statements shows the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the client's plan of care?

Correct Answer is D

Explanation

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