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 B

Explanation

A. Respiratory rate 24/min: While a normal respiratory rate is positive, it is not a primary marker of hydration status.
B. Urine specific gravity 1.015: A normal urine specific gravity indicates adequate hydration.
C. Heart rate 130/min: Tachycardia indicates ongoing dehydration or stress.
D. Capillary refill greater than 3 seconds: Prolonged capillary refill suggests inadequate perfusion and continued dehydration.

A. Wrist B. Mummy C. jacket D. Elbow

Correct Answer is D

Explanation

A. Wrist: Wrist restraints do not prevent the infant from touching their mouth.
B. Mummy: A mummy restraint immobilizes the entire body, which is unnecessary and can cause distress.
C. Jacket: Jacket restraints are not appropriate or indicated for postoperative care of cleft lip and palate.
D. Elbow: Elbow restraints prevent the infant from bending their arms and touching or disrupting the surgical repair site.

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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 collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?

Correct Answer is B

Explanation

A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The surgeon prescribes restraints. The nurse should apply which of the following types of restraints to the infant?

Correct Answer is D

Explanation

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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?

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