A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching?
"I will keep the penis clean of yellow exudate."
"I will apply petroleum jelly to the penis with each diaper change."
"I will make sure my baby's diaper fits snugly."
"I will use soap to wash the penis until it heals."
The Correct Answer is B
The correct answer is b. "I will apply petroleum jelly to the penis with each diaper change."
Choice A rationale:
- It is incorrect to focus on removing all yellow exudate. A small amount of yellow exudate is normal during the healing process after circumcision. Attempting to aggressively clean it off can irritate the delicate healing tissues and cause discomfort for the baby.
- Instead, parents should gently cleanse the area with warm water during diaper changes, allowing any mild exudate to naturally drain.
Choice B rationale:
- Applying petroleum jelly with each diaper change is an essential step in promoting healing and preventing discomfort after circumcision. Here's why:
- Protects against moisture: Petroleum jelly forms a barrier that protects the delicate healing tissues from moisture from urine and feces. This helps to prevent irritation and keeps the area clean.
- Reduces friction: The lubricating properties of petroleum jelly reduce friction between the penis and the diaper, which can minimize discomfort and pain for the baby.
- Promotes healing: Petroleum jelly creates a moist environment that promotes healing and reduces scab formation. This helps the circumcision site to heal faster and more comfortably.
Choice C rationale:
- While ensuring a proper diaper fit is important for overall hygiene, it's not the most crucial aspect of post-circumcision care. A snug diaper can put unnecessary pressure on the healing penis, potentially causing irritation and discomfort. It's generally recommended to choose a diaper that fits comfortably without being too tight.
Choice D rationale:
- Using soap to wash the penis is not recommended during the healing process. Soap can be harsh and drying to the delicate tissues, potentially causing irritation and delaying healing.
- Warm water is sufficient for cleansing the area during diaper changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Restlessness is a common sign that a client's pain is not adequately relieved. When a client experience unrelieved pain, they may find it difficult to get comfortable and may exhibit restlessness, such as frequently changing positions, fidgeting, or appearing agitated. It is important for the nurse to assess the client's pain level and address any concerns regarding pain management.
While difficulty swallowing (dysphagia), constipation, and urinary retention can be potential side effects or complications associated with spinal epidural anesthesia, they are not specific indicators of unrelieved pain. These findings may be related to the effects of the anesthesia itself or other factors, and they should still be assessed and addressed by the nurse. However, restlessness is more directly linked to the experience of pain and should be recognized as an important sign that the client's pain relief measures may need adjustment.
Correct Answer is D
Explanation
d. The school-age sister is concerned about the impact of her sibling's death on herself.
Explanation:
When a child is facing a terminal illness, it is common for their siblings to have various emotional and cognitive responses. Option a, where the adolescent brother criticizes the parents' plan for a funeral service, may not be a typical response as it focuses on a specific aspect of the situation rather than the broader understanding of death and loss. Option b, where the school-age sister views death as temporary sleep, might be a simplified understanding of death that is more commonly seen in younger children. Option c, where the adolescent brother fears the terminal illness is contagious, could be a possible response but is less common than the concern about the impact of the sibling's death on oneself.
Option d, where the school-age sister is concerned about the impact of her sibling's death on herself, is a common response in siblings of terminally ill children. Siblings often experience a range of emotions, including fear, sadness, confusion, and concern about their own well-being and future. It is important for healthcare professionals to provide support and resources to help siblings navigate these emotions and cope with the challenging circumstances they are facing.
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