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.

Nursing Test Bank

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Correct Answer is ["C","E"]

Explanation

C. Manual resuscitation bag: In the case of a child with inspiratory stridor and retractions, there is a concern about airway obstruction. Having a manual resuscitation bag available is crucial to ensure that the child's airway can be effectively managed in case of respiratory distress.

E. An advanced airway kit: If the child's condition worsens and he experiences severe respiratory distress or failure, an advanced airway may be necessary to secure the airway and provide proper oxygenation. Having an advanced airway kit available is important in case intubation becomes necessary.

Incorrect answers:

A. Elbow restraints: Elbow restraints are not typically used during peripheral intravenous line placement. They are used to prevent children from bending their arms excessively after specific surgeries or procedures.

B. The child's favorite toy: While having a favorite toy might help distract the child and reduce anxiety, it is not a critical item needed for the placement of a peripheral intravenous line.

D. A dose of subcutaneous epinephrine: Subcutaneous epinephrine is not used for the placement of an intravenous line. It is typically used to treat severe allergic reactions (anaphylaxis).

F. Nebulized albuterol: Nebulized albuterol is a medication used to treat bronchospasm in conditions such as asthma. While the child is experiencing respiratory distress, the priority is to secure the airway and provide oxygenation, which may involve using a manual resuscitation bag and an advanced airway kit.

A. 800mg B. 120 mg C. 160 mg D. 200mg

Correct Answer is A

Explanation

Convert the child’s weight from pounds to kilograms:
- 44 pounds =
  2.244
  kg = 20 kg (rounded to the nearest tenth).
Determine the maximum daily dose based on weight:
- Maximum daily dose = 40 mg/kg/day
- Maximum daily dose for this child = 40 mg/kg × 20 kg = 800 mg/day.

Therefore, the maximum daily dose of pediatric ibuprofen for this child is 800 mg.

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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

Find information about a client below. The nurse collects items to replace the peripheral intravenous line. Which 2 items must the nurse make sure is available before attempting to place the intravenous line?

Correct Answer is ["C","E"]

Explanation

Correct Answer is A

Explanation

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