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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 A

Explanation

Answer: A

Rationale:

A) Serve meals with plastic utensils: Serving meals with plastic utensils is essential to reduce the risk of self-harm. Metal utensils could be used by the client to inflict injury upon themselves, so providing plastic utensils is a necessary safety measure to prevent potential harm.

B) Assign another client to accompany the client to therapy sessions: Assigning another client to accompany the client to therapy sessions is not appropriate as it places an undue burden on another client and may not ensure the safety of the at-risk client. Professional staff should provide supervision and support.

C) Assign the client to a private room: Assigning the client to a private room might increase the risk of self-harm due to reduced supervision. It is generally better to place the client in a more observable setting where staff can frequently monitor their condition.

D) Check on the client every 4 hr: Checking on the client every 4 hours is insufficient for someone who has recently attempted suicide. More frequent monitoring, such as constant or every 15-minute checks, is necessary to ensure the client's safety and provide immediate intervention if needed.

A. Draws up regular insulin before NPH when demonstrating injection technique B. Says that he will see a primary care provider to treat corns on his feet C. States that he will treat hypoglycemic reactions with 15 g of carbohydrates D. Lists sweating, shaking, and palpitations as symptoms of hyperglycemia

Correct Answer is D

Explanation

The nurse should recognize that the client needs a referral for diabetic education when the client lists sweating, shaking, and palpitations as symptoms of hyperglycemia. These symptoms are actually associated with hypoglycemia, not hyperglycemia. Hyperglycemia is characterized by symptoms such as increased thirst, frequent urination, and fatigue.

Option a is incorrect because drawing up regular insulin before NPH when demonstrating injection technique is the correct procedure.

Option b is incorrect because seeing a primary care provider to treat corns on the feet is an appropriate action for a client with diabetes.

Option c is incorrect because treating hypoglycemic reactions with 15 g of carbohydrates is the recommended treatment.

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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

A nurse is caring for a client who atempted suicide. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Correct Answer is D

Explanation

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