A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?
Do not touch stent or dressings
Give tub bath after 48 hours
Maintain fluid restriction
Give anticholinergic medication
The Correct Answer is A
A. The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B. Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C. Fluid restriction is not necessary unless prescribed for another condition.
D. Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.
Correct Answer is A
Explanation
A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.
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