A nurse is teaching the parent of a newborn who underwent a circumcision using the Gomco method.
Which of the following statements by the parent indicates an understanding of the teaching?
I will apply petroleum to my baby's penis with each diaper change.
I will wipe off the yellow drainage each time I change my baby's diaper.
I will use the diaper to apply gentle pressure to the area.
I will clean my baby's penis with alcohol after each diaper change.
The Correct Answer is A
Choice A rationale
Applying petroleum jelly to the glans of the penis is an important step in the care of a newborn who has undergone a Gomco circumcision. This acts as a protective barrier to prevent the glans from sticking to the diaper, which can cause pain and disrupt the healing process. This is done with each diaper change for the first few days.
Choice B rationale
The yellow, sticky exudate that forms on the glans is a normal part of the healing process and is composed of fibrin and serum. Wiping it off can disrupt the healing tissue and increase the risk of bleeding and infection. The parent should be instructed to allow this exudate to fall off naturally.
Choice C rationale
Applying gentle pressure with a diaper is not an appropriate intervention. The area should be kept as free from pressure as possible to promote healing and reduce discomfort. Pressure could cause bleeding, pain, or damage to the delicate new tissue that is forming.
Choice D rationale
Alcohol is a harsh astringent that can cause significant pain and irritation to the sensitive, healing tissue of the glans. It can also dry out the skin, delaying the healing process. Only warm water should be used to clean the area during diaper changes. .
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Activating the fire alarm is a critical step in the RACE sequence (Rescue, Alarm, Contain, Extinguish). However, the immediate priority is to ensure the safety of people. Therefore, alerting others to the fire comes after the initial rescue of individuals in immediate danger. This action is necessary for a coordinated emergency response.
Choice B rationale
Closing doors and windows on the unit is an important step in containing the fire and preventing the spread of smoke and flames. This action follows the evacuation of individuals in immediate danger and is part of the "Contain" step of the RACE protocol. Containment helps to protect other areas of the facility.
Choice C rationale
Obtaining and using a fire extinguisher is a valid action, but only after clients in immediate danger have been evacuated and the fire alarm has been activated. The "Extinguish" step is only to be performed if the fire is small and contained and the person is trained to use the extinguisher, and it does not pose a risk to the person.
Choice D rationale
The primary responsibility of a nurse during a fire is to protect the clients. The acronym RACE guides this response: Rescue, Alarm, Contain, and Extinguish. The first and most critical step is to remove clients from the immediate danger area, which takes precedence over all other actions. *.
Correct Answer is A
Explanation
Choice A rationale
Determining the accepted standards for hand hygiene is the first and most critical step in an audit. Without a clear set of criteria, there is no basis for evaluating current practices. This standard serves as a benchmark against which all subsequent data will be measured, ensuring the audit is objective and that any deviations can be accurately identified.
Choice B rationale
Establishing data collection methods is a crucial step, but it must follow the establishment of standards. The methods for data collection, such as direct observation or surveys, must be designed to accurately measure adherence to the predetermined standards. Without standards, the data collected would lack context and a meaningful reference point for analysis.
Choice C rationale
Comparing facility data to established criteria is a subsequent step in the audit process. It involves analyzing the collected data to determine whether current practices align with the accepted standards. This comparison identifies gaps in compliance, but it can only be done after the standards have been defined and data has been collected.
Choice D rationale
Corrective measures are a final step in the quality improvement cycle. They are implemented after data has been collected, analyzed, and a need for change has been identified. Taking corrective action before an audit is completed would be premature and lacks an evidence-based foundation, potentially leading to ineffective or misdirected interventions. *.
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