An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Increasing fluid intake

Inserting an indwelling catheter

Maintaining prone positioning

Preventing skin breakdown

Answer and Explanation

The Correct Answer is D

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

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Correct Answer is D

Explanation

A. Thyroid storm is related to hyperthyroidism and is not directly associated with vasopressin treatment.

B. Vitamin D toxicity is unrelated to vasopressin and is not a concern in this scenario.

C. Cushing syndrome is caused by excess cortisol and is not related to vasopressin therapy.

D. SIADH is characterized by excessive release of antidiuretic hormone, which can lead to water retention and hyponatremia. Since vasopressin is an antidiuretic hormone analog, it can cause similar effects if not carefully monitored.

A. "The varicella vaccine should be withheld if my child is symptomatic of their illness." B. "The vaccination schedule does not apply to my child." C. "The pneumococcal (PCV) vaccine should be delayed until my child's first birthday." D. "The human papillomavirus (HPV) vaccine is contraindicated for my child."

Correct Answer is A

Explanation

A. The varicella vaccine, which is a live attenuated vaccine, may be withheld if the child is symptomatic of their illness or has a significantly compromised immune system. This is due to the increased risk of severe reactions or complications in immunocompromised individuals.

B. The vaccination schedule is still applicable to children with HIV, but there may be adjustments based on the child’s immunocompetence and specific health status.

C. The pneumococcal vaccine is recommended for children with HIV and is typically administered according to the standard schedule, not delayed until the first birthday.

D. The HPV vaccine is generally recommended for children with HIV, as they are at increased risk for HPV-related complications. It is not contraindicated.

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An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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