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 A

Explanation

Choice A reason: Enuresis can lead to emotional problems such as embarrassment, frustration, and low self-esteem, especially if not managed with sensitivity and support.

Choice B reason: While urinary tract infections can cause enuresis, they are not typically a complication of enuresis itself.

Choice C reason: Urosepsis is a severe infection that can result from a urinary tract infection but is not a common complication of enuresis.

Choice D reason: Progressive kidney disease is not a complication of enuresis. Enuresis is a symptom that can occur in various conditions, including kidney disease, but it does not cause the disease to progress.

A. Administer multiple vitamins and minerals in the IV solution. B. Infuse total parenteral nutrition via a central catheter. C. Insert a feeding tube and initiate enteral feedings. D. Encourage an oral intake of at least 3000 kcal per day.

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis?

Correct Answer is A

Explanation

A client has just been admitted with a 60% total body surface area (TBSA) burn injury. The nurse notes absent bowel sounds in all quadrants. To maintain adequate nutrition, which action should the nurse plan to take?

Correct Answer is B

Explanation

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