The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

Surgery should be performed within one month to prevent bladder infections.

Postponing the repair until the child reaches school age can alleviate fears of castration.

The repair should be completed before the child is toilet-trained.

The urethral repair should be carried out after the child reaches sexual maturity.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While it’s important to prevent bladder infections, performing surgery within one month is not typically recommended for hypospadias.
Choice B rationale
Postponing the repair until the child reaches school age is not typically recommended. The fear of castration is not usually a consideration in the timing of hypospadias repair.
Choice C rationale
The repair should ideally be completed before the child is toilet-trained. This allows for normal urinary function and reduces potential psychological impact.
Choice D rationale
Waiting until the child reaches sexual maturity is not typically recommended. Early intervention allows for normal development and function.

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Correct Answer is A

Explanation

Choice A rationale
In an infant with aortic stenosis and bilateral fine crackles in both lung fields, hypotension and tachycardia are additional findings that the nurse should expect to observe. Aortic stenosis can lead to decreased cardiac output, which can result in hypotension. The body compensates for this by increasing the heart rate, leading to tachycardia.
Choice B rationale
Vigorous feeding and satiation are not typically associated with aortic stenosis. Infants with aortic stenosis may actually have difficulty feeding due to fatigue.
Choice C rationale
Fever is not a typical symptom of aortic stenosis. If an infant with aortic stenosis has a fever, it may indicate a concurrent infection.
Choice D rationale
Hemiplegia, or paralysis of one side of the body, is not a typical symptom of aortic stenosis. If an infant with aortic stenosis presents with hemiplegia, it may indicate a serious complication such as a stroke.

A. Seeing spots B. Profuse perspiration C. Racing pulse D. Excessive thirst

Correct Answer is B

Explanation

Choice A rationale
Seeing spots is not a typical symptom of low blood sugar (hypoglycemia), which is a common concern for individuals with Type 1 diabetes. Seeing spots could be related to other health issues, such as eye conditions or neurological problems.
Choice B rationale
Profuse perspiration is a common symptom of hypoglycemia. When blood sugar levels drop, the body produces excess adrenaline, leading to sweating. Consuming a source of sugar would help to raise blood sugar levels and alleviate this symptom.
Choice C rationale
A racing pulse is not a specific symptom of hypoglycemia. It could be related to various conditions, including anxiety, dehydration, or heart conditions.
Choice D rationale
Excessive thirst is typically a symptom of high blood sugar (hyperglycemia), not low blood sugar. Consuming sugar when blood sugar levels are already high could potentially worsen the condition.

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The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing an infant with aortic stenosis and identifies bilateral fine crackles in both lung fields. What additional finding should the nurse expect to observe?

Correct Answer is A

Explanation

When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to consume a source of sugar if which symptom occurs?

Correct Answer is B

Explanation

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The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?