The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

Whatever the parents decide, the staﬀ will be available to support the decision.

The child's prognosis will not develop complications if surgery is delayed.

Some children do outgrow this type of problem and waiting may be beneficial.

Ask the parents to explain what they understand about the child's diagnosis.

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. Ask the parents to explain what they understand about the child’s diagnosis.

Choice A rationale:

While it is important to support the parents’ decisions, this choice does not address the need for the parents to have accurate information about the condition and its potential complications.

Choice B rationale:

This statement is incorrect. Delaying surgery for hypospadias can lead to complications such as urinary problems, infections, and issues with sexual function later in life.

Choice C rationale:

This is misleading. Hypospadias does not typically resolve on its own, and waiting can result in complications that may require more complex surgical interventions.

Choice D rationale:

This choice is correct because it encourages the parents to share their understanding of the diagnosis, allowing the nurse to provide accurate information and address any misconceptions. This approach ensures that the parents make an informed decision based on a clear understanding of the condition and its implications.

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Correct Answer is B

Explanation

Choice A rationale:

Granulating tissue in a foot ulcer is a positive sign of wound healing, but it may not be directly related to the effectiveness of pregabalin in treating diabetic peripheral neuropathy. The primary goal of pregabalin in this context is to reduce pain and neuropathic symptoms.

Choice B rationale:

A reduced level of pain is the most relevant indicator of the effectiveness of pregabalin in treating diabetic peripheral neuropathy. Pregabalin is an antiepileptic medication used to manage neuropathic pain. A decrease in pain indicates that the medication is effectively managing the client's symptoms.

Choice C rationale:

Improved visual acuity is not directly related to the effectiveness of pregabalin in treating diabetic peripheral neuropathy. Pregabalin primarily targets neuropathic pain and sensory symptoms, not visual function.

Choice D rationale:

A full volume of pedal pulses is a positive sign of adequate circulation in the lower extremities, but it may not be directly related to the effectiveness of pregabalin in treating neuropathy symptoms. The primary goal of pregabalin in this context is pain management.

A. 0.7 mL. B. 1.0 mL. C. 1.3 mL. D. 1.7 mL.

Correct Answer is A

Explanation

Step 1 is to determine the amount of darbepoetin alfa in each mL of solution. The vial is labeled as “60 mcg/mL”, which means each mL contains 60 mcg of darbepoetin alfa.

Step 2 is to calculate the volume of the solution that contains 40 mcg of darbepoetin alfa. This can be done by dividing the prescribed dosage by the concentration of the solution. So, the volume is 40 mcg ÷ 60 mcg/mL = 0.67 mL.

However, since we need to round to the nearest tenth, the volume becomes 0.7 mL.

So, the correct answer is, after analysing all choices, the nurse should administer 0.7 mL of the darbepoetin alfa solution.

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The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days. Which finding indicates to the nurse that the medication is effective?

Correct Answer is B

Explanation

A client with chronic kidney disease receives a prescription for darbepoetin alfa 40 mcg subcutaneous every 7 days. The darbepoetin alfa vial is labeled, "60 mcg/mL." How many mL should the nurse administer? round to the nearest tenth.

Correct Answer is A

Explanation

An unlicensed assistive personnel (UAP) reports that a client's right hand and fingers spasm when taking the blood pressure using the same arm. After confirming the presence of the spasms, which action should the nurse take?

A client who weighs 176 pounds receives a prescription for norepinephrine 2 mcg/min intravenously (IV). The IV bag is labeled, "Norepinephrine 4 mg in dextrose 5% in water (D;W) 1,000 mL." How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.).

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

A client who is reaching saturation with medication reports the onset of muscle soreness and fatigue, and the practical nurse (PN) notes that the client's skin is warm to the touch. Which action by the PN is a priority?

Patient Data Exhibits What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

A client at 42-weeks gestation arrives at the labor and delivery unit for a scheduled induction but refuses the prescribed oxytocin infusion because she wants to have a "natural" delivery. Which action is most important for the nurse to implement?

A nurse is caring for a client who has variant angina and is prescribed verapamil. Which of the following are expected outcomes of this medication? (Select all that apply.)

Patient Data. Exhibits The nurse has called the physician and is anticipating orders. Select the actions that would help with the listed treatment goals. Select all that apply.