A 2-month-old patient has a history of phimosis What statement by the father indicates a need for further teaching?

This is a normal finding as my son is uncircumcised

This means that there is a narrowing of his torch could lead to an infection"

I will make sure to pull his foreskin back to clean it every week

If this continues to be an issue, we may have hi have him circumcised

Answer and Explanation

The Correct Answer is C

Phimosis is a condition in which the foreskin of the penis is tight or difficult to retract over the glans (head of the penis). It is normal for infants and young boys to have a non-retractable foreskin, and it usually resolves naturally as they grow. Pulling back the foreskin forcefully or attempting to clean under it in an infant can cause injury, pain, and even infection.

The correct approach is to gently clean the external genitalia with mild soap and water, but the foreskin should not be forcibly retracted in an infant. The foreskin will gradually become more retractable on its own as the child grows.

The other statements are generally appropriate:

A. "This is a normal finding as my son is uncircumcised": Phimosis is more common in uncircumcised males, and it is often a normal developmental variation in infants.

B. "This means that there is a narrowing of his torch that could lead to an infection": This statement recognizes the possibility of complications related to phimosis, such as the risk of infection, which is accurate.

D. "If this continues to be an issue, we may have him circumcised": Circumcision may be considered in cases where phimosis persists and causes problems, but it is usually not recommended during infancy unless medically necessary. This statement acknowledges a potential treatment option.

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Correct Answer is ["A","C"]

Explanation

For a family with a child diagnosed with obesity and hyperlipidemia, the recommended actions in the educational pamphlet should focus on promoting a healthy lifestyle and managing these conditions effectively. The most appropriate recommendations are:

A. Children-specific heart-healthy diet: Emphasize the importance of a balanced and heart-healthy diet for the child. Include information on portion control, reducing high-fat and high-sugar foods, increasing fruit and vegetable intake, and incorporating whole grains. Encourage families to work with a registered dietitian or nutritionist for personalized dietary guidance.

C. Nutrition guidance from a pediatric specialist: Recommend seeking guidance from a pediatrician or pediatric specialist with expertise in nutrition to develop a personalized nutrition plan for the child. Individualized guidance can help address specific dietary needs and concerns related to obesity and hyperlipidemia.

In contrast, the following options should not be included:

B. Start on statin medication first: Statin medications are typically not the first-line treatment for children with hyperlipidemia, especially if lifestyle modifications can effectively manage the condition. Medication use in children is typically reserved for cases where lifestyle changes alone are insufficient or when there are other medical considerations.

D. Encourage more than 4 hours of screen time per day: Encouraging excessive screen time is not recommended, as it can contribute to a sedentary lifestyle, which is often associated with obesity. Limiting screen time and promoting physical activity are important components of managing obesity.

E. Exercise for at least 3 hours daily: While physical activity is important for managing obesity, recommending over 3 hours of exercise daily may not be realistic or sustainable for most children. Instead, it's better to encourage regular physical activity, such as at least 60 minutes of moderate to vigorous activity daily, as recommended by guidelines for children.

Overall, the focus should be on adopting a healthy lifestyle, including a balanced diet and appropriate physical activity, under the guidance of healthcare professionals, to manage obesity and hyperlipidemia in children.

Correct Answer is ["Kawasaki disease"," evidenced by the patient's diagnosis of fever for 6 days"," strawberry tongue"," cervical lymphadenopathy"," and irritability."]

Explanation

Kawasaki disease, evidenced by the patient's diagnosis of fever for 6 days, strawberry tongue, cervical lymphadenopathy, and irritability.

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A 2-month-old patient has a history of phimosis What statement by the father indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is creating an educational pamphlet for a low-income area that has a high rate of obesity. What should the nurse include as recommended actions for a family with a child who has been diagnosed with obesity and hyperlipidemia?

Correct Answer is ["A","C"]

Explanation

Correct Answer is ["Kawasaki disease"," evidenced by the patient's diagnosis of fever for 6 days"," strawberry tongue"," cervical lymphadenopathy"," and irritability."]

Explanation

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