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

Explanation

Secondary hypertension in children is hypertension (high blood pressure) that is caused by an underlying medical condition or medication. The primary approach to managing secondary hypertension is to identify and treat the underlying cause. This may involve medical treatment, surgery, or other interventions, depending on the specific condition responsible for the high blood pressure.

While lifestyle modifications such as a low-salt diet, increased exercise, fitness, and weight reduction can be important components of managing blood pressure in some cases, they are not the primary therapy for secondary hypertension. The focus should be on addressing the root cause of hypertension, and lifestyle modifications may be recommended as part of the overall treatment plan.

Correct Answer is ["480"]

Explanation

To calculate the total volume the patient will receive, you can use the formula:

Total Volume = Rate x Time

In this case, the rate is 20 mL/hr, and the time is 24 hours. Now, calculate:

Total Volume = 20 mL/hr x 24 hr = 480 mL

So, the patient will receive a total of 480 mL of the 0.9% NS solution.

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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

The primary therapy for secondary hypertension in children is...

Correct Answer is A

Explanation

A 1000 mL 0.9% NS bag is to be administered to a patient at 20 mL/hr. The patient is to receive this solution for hours. How many mi will the patient receive? (Round to the nearest whole number)

Correct Answer is ["480"]

Explanation

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