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 A

Explanation

a) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.

b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.

c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.

d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.

A. Health assessment B. Health promotion C. Health maintenance D. Health screening

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.

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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

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