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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

A. Sweat chloride content 85 mEq/L B. 72-hour stool analysis sample indicating hard, packed stools C. Increased blood levels of fat-soluble vitamins D. Chest x-ray negative for atelectasis

Correct Answer is A

Explanation

Choice A reason: A sweat chloride content of 85 mEq/L is indicative of cystic fibrosis, as normal values are below 30 mEq/L, and values above 60 mEq/L are diagnostic for cystic fibrosis.

Choice B reason: Hard, packed stools could be a sign of cystic fibrosis but are not as diagnostic as a sweat chloride test.

Choice C reason: Increased blood levels of fat-soluble vitamins are not typically associated with cystic fibrosis; patients often have deficiencies due to malabsorption.

Choice D reason: A chest x-ray negative for atelectasis does not indicate cystic fibrosis, as atelectasis can be present in many conditions.

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A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

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