A 14-year-old boy who has experienced frequent ear infections has recently been diagnosed with conductive hearing loss. Which of the following should the clinic nurse assess?

Oropharynx

Language development

Serosanguinous drainage

Cranial nerve function

Answer and Explanation

The Correct Answer is D

a) Oropharynx: While important for general health, in conductive hearing loss, assessing the oropharynx might not directly correlate.

b) Language development: Relevant to assess in the context of hearing loss, but not the most immediate concern in this scenario.

c) Serosanguinous drainage: Typically associated with nasal or ear infections but may not directly relate to conductive hearing loss.

d) Cranial nerve function: Conductive hearing loss can be related to issues in the middle ear or ossicles, making cranial nerve function assessment pertinent to evaluate hearing loss mechanisms.

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Correct Answer is A

Explanation

a) Prepare a warmer: Infants born with omphalocele defects require careful temperature regulation due to potential heat loss through the exposed abdominal contents. Using a warmer helps maintain the infant's body temperature.

b) Prepare a crib: While necessary for the infant, temperature regulation is a more immediate concern.

c) Prepare a feeding of formula: Feeding might be necessary but is not the most urgent need for an infant with an omphalocele.

d) Prepare the bilirubin light: Bilirubin lights are used for treating jaundice, which might not be an immediate concern for an infant with an omphalocele defect.

A. The infant has blood in urine B. The infant has received two doses of morphine per PRN orders C. The infant has voided one time since returning from surgery D. Double diapering the infant has resulted in the stent being free from stool contamination

Correct Answer is A

Explanation

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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A 14-year-old boy who has experienced frequent ear infections has recently been diagnosed with conductive hearing loss. Which of the following should the clinic nurse assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant born with an omphalocele defect is admitted to the intensive care nursery. Which instruction from the nurse manager to the unlicensed assistive personal is most appropriate?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

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