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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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

The first action the nurse should take is to reevaluate the client's response to the medication in 30 min. Hydromorphone has an onset of action of 15 to 30 minutes when taken orally ¹. Therefore, it may take some time for the medication to reach its full eﬀect.

Option a is incorrect because it may not be necessary to contact the provider for more pain medication until after reevaluating the client's response to the medication.

Option b is incorrect because teaching relaxation techniques may not provide immediate relief for acute pain.

Option c is incorrect because documenting the client's reaction to the administration of medication should be done after reevaluating their response to the medication.

A. Ice cream B. Honey C. Yogurt D. Watermelon

Correct Answer is C

Explanation

Yogurt is a beneficial food for individuals with IBS for several reasons: Yogurt contains live beneficial bacteria, known as probiotics, which can help regulate the balance of gut bacteria. Probiotics may improve digestive health and reduce symptoms such as bloating, gas, and diarrhea in some individuals with IBS. Yogurt is a good source of calcium, which is an essential nutrient for overall health and plays a role in maintaining normal digestive function.

Ice cream is not typically recommended for individuals with IBS. It contains high amounts of fat and lactose, which can worsen symptoms such as bloating, gas, and diarrhea in some individuals with IBS. Moreover, some people with IBS may be sensitive to dairy products.

Honey is generally well-tolerated by individuals with IBS. However, it does not offer specific benefits for managing IBS symptoms. Its inclusion in the diet would depend on individual preferences and tolerances.

Watermelon is a low-FODMAP fruit, which means it is generally well-tolerated by individuals with IBS. It can be a refreshing and hydrating option. However, its inclusion in the diet would depend on individual preferences and tolerances.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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