A 6-month-old male infant was diagnosed with a hydrocele. The nurse practitioner should:
refer the infant to a pediatric urologist as soon as possible.
consider this a normal finding because it is usually self-resolving.
consider this finding unusual and re-evaluate in 3 months; refer if it has not resolved.
consider this finding unusual and re-evaluate in 6 months; refer if it has not resolved.
The Correct Answer is B
Rationale:
A. Immediate referral to a pediatric urologist is not necessary for most infant hydroceles.
B. Hydrocele in infants is typically a normal finding due to fluid accumulation in the scrotum, often related to a patent processus vaginalis. Most hydroceles resolve spontaneously within the first year of life, especially by 12 months.
C. Waiting 3 months may be too short for natural resolution; most guidelines suggest observation until at least 12 months.
D. Waiting 6 months is reasonable, but the standard approach considers hydrocele normal and self-resolving, making routine referral unnecessary unless it persists beyond 12–18 months or becomes symptomatic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Pericardial effusion is the accumulation of fluid in the pericardial sac surrounding the heart, not in the pleural cavity.
B. Parapneumonic pleural effusion is fluid that accumulates in the pleural space secondary to pneumonia; it is usually serous, purulent, or bloody but not specifically lymphatic.
C. Pleural empyema is pus in the pleural space, typically resulting from infection, not lymphatic fluid.
D. Chylothorax is the accumulation of lymphatic fluid (chyle) in the pleural cavity, usually due to trauma, obstruction, or congenital malformation of the thoracic duct. It is characterized by a milky appearance and high triglyceride content.
Correct Answer is B
Explanation
Rationale:
A. 0.1–0.2 u/kg/day is too low for initial insulin requirements in children with type 1 diabetes.
B. 0.25–0.45 units/kg/day is the recommended starting total daily insulin dose for children younger than 12 years. This total is typically divided into basal and bolus doses to achieve glycemic control while minimizing the risk of hypoglycemia.
C. 0.3–1.0 u/kg/day may be used in older children or adolescents, especially during puberty when insulin resistance increases.
D. 1–1.5 u/kg/day is generally too high for initial dosing and may increase the risk of hypoglycemia in younger children.
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