A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?
Prepare the child for surgery.
Retract the foreskin and cleanse several times daily.
Refer the family for genetic counseling.
Explain to the parents that the issue will self-resolve.
The Correct Answer is D
Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.
Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.
Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.
Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While administering vitamins and minerals is important, it does not provide complete nutrition, especially for a client with such extensive burns and absent bowel sounds.
Choice B reason: This is the correct choice because total parenteral nutrition (TPN) provides complete nutrition intravenously, bypassing the gastrointestinal tract, which is necessary when bowel sounds are absent, indicating a non-functioning GI system.
Choice C reason: Enteral feedings require a functioning GI tract. With absent bowel sounds, this indicates a high risk for complications like aspiration or feeding intolerance.
Choice D reason: Encouraging oral intake is not feasible for a client with extensive burns and absent bowel sounds due to the high risk of inadequate intake and aspiration.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.
Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.
Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.
Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.
Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.
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