Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

The infant has blood in urine

The infant has received two doses of morphine per PRN orders

The infant has voided one time since returning from surgery

Double diapering the infant has resulted in the stent being free from stool contamination

Answer and Explanation

The Correct Answer is A

a) Blood in the urine after hypospadias repair could indicate postoperative bleeding, and it's a significant finding that should be reported promptly to the surgeon.

b) Administration of morphine according to PRN orders is a common postoperative pain management strategy and might not require immediate reporting unless there are concerns about the dosage or the child's response.

c) Voiding once after surgery is expected and not necessarily concerning unless there are additional issues or complications.

d) Ensuring the stent is free from stool contamination is important for postoperative care but doesn't require immediate reporting to the surgeon unless there are signs of infection or other complications.

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Correct Answer is B

Explanation

a) Health assessment: Refers to the evaluation of the child's health status, including physical examinations and assessments.

b) Health promotion: Involves educating and encouraging practices that enhance overall health, like explaining the importance of immunizations.

c) Health maintenance: Focuses on ensuring continued health through preventive measures and routine care.

d) Health screening: Involves checking for diseases or conditions even when symptoms are not apparent, typically via tests or exams.

A. Focusing exclusively on the reported illness B. Asking the mother to leave the room after obtaining their history C. Obtaining a comprehensive history, including socio-economic data D. Reviewing health promotion and maintenance activities

Correct Answer is C

Explanation

a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.

b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.

c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.

d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.

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Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the pediatric well-child clinical, the nurse explains the reason for an immunization series to the child’s mother. This action represents which term?

Correct Answer is B

Explanation

A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Correct Answer is C

Explanation

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