An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

Teach how to perform testicular self-examinations.

Advise to avoid athletics to prevent injury.

Assess knowledge of pubertal signs.

Educate about erectile dysfunction.

Answer and Explanation

The Correct Answer is A

A. Teaching how to perform testicular self-examinations is appropriate. Cryptorchidism refers to the condition in which one or both testicles do not descend into the scrotum. Orchiopexy is a surgical procedure used to correct cryptorchidism by placing the testicle(s) into the scrotum. While the primary purpose of orchiopexy is to ensure proper testicular development and function, it's important for individuals with a history of cryptorchidism and orchiopexy to be aware of their testicular health.
Teaching how to perform testicular self-examinations is an important aspect of anticipatory guidance. This education empowers the adolescent to monitor for any changes or abnormalities in the testicles, which may include signs of testicular cancer or other issues. Early detection and prompt medical attention can lead to better outcomes.

B. Advising to avoid athletics to prevent injury is inappropriate. While avoiding injury is important, participation in athletics is generally safe after orchiopexy. This option does not directly address the specific concern related to testicular health.

C. Assessing knowledge of pubertal signs inappropriate. While assessing knowledge of pubertal signs is important, it does not directly address the adolescent's history of orchiopexy.

D. Educating about erectile dysfunction is inappropriate. Erectile dysfunction is not typically a primary concern in adolescents with a history of orchiopexy. This option does not provide relevant anticipatory guidance for this specific situation.

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Correct Answer is D

No explanation

A. Knowledge deficit related to caring for the infant B. Risk for impaired parenting related to appearance of infant C. Altered urinary elimination related to exposure of bladder D. Risk for infection related to impaired skin integrity E. None F. None

Correct Answer is D

Explanation

Correct answer: D

D. Risk for infection related to impaired skin integrity: Bladder exstrophy exposes the bladder to the external environment, significantly increasing the risk of infection. This is a critical concern that requires immediate attention to prevent serious complications.

Incorrect:

A. Knowledge deficit related to caring for the infant: While educating the parents about caring for an infant with bladder exstrophy is important, it is not the highest priority compared to preventing infection.

B. Risk for impaired parenting related to appearance of the infant: While the appearance of the infant may be challenging for parents, addressing the immediate risk of infection is more critical.

C. Altered urinary elimination related to exposure of the bladder: This is a known consequence of bladder exstrophy and is addressed through surgical intervention and ongoing care. However, preventing infection is the most immediate priority.

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An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Which nursing problem has the highest priority when providing preoperative care for an infant born with bladder exstrophy?

Correct Answer is D

Explanation

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