A nurse is providing discharge teaching to the parents of a 9-month-old male infant who is postoperative following a hypospadias repair. Which of the following statements should the nurse make?
"Expect your baby to have the urinary catheter for about 1 week."
"You should clamp the catheter tubing for 10 minutes three times per day."
"Apply an antifungal ointment to your baby's penis twice daily."
"Your baby will take a prophylactic antibiotic for the next 6 weeks.
The Correct Answer is A
Choice A rationale:
Following hypospadias repair, a urinary catheter is often placed to ensure proper healing. The duration of catheterization varies, but about 1 week is a common timeframe.
Choice B rationale:
Clamping the catheter tubing for extended periods is not a standard practice and can cause discomfort and complications.
Choice C rationale:
Applying antifungal ointment is not typically required after hypospadias repair.
Choice D rationale:
A prophylactic antibiotic is not typically prescribed for 6 weeks following hypospadias repair.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Ankle swelling can be a common symptom of pregnancy and is not necessarily indicative of a complication.
Choice B rationale:
Gums can become more sensitive during pregnancy, leading to bleeding while brushing teeth. This finding is common and not necessarily indicative of a complication.
Choice C rationale:
Constant pain in the middle of the upper abdomen can be a sign of preeclampsia, a serious pregnancy complication that requires prompt medical attention.
Choice D rationale:
Feeling dizzy when lying flat on the back (supine hypotension) can be a common discomfort during pregnancy due to pressure on the vena cava. However, it does not necessarily indicate a complication in this context.
Correct Answer is D
Explanation
Choice A rationale:
Replacing the ritual with a different ritualistic behavior is possible, but it does not necessarily predict the initial response when the restriction is first imposed.
Choice B rationale:
Reporting auditory hallucinations is not a typical response to restricting ritualistic behavior in someone with OCD.
Choice C rationale:
Expressing relief from not having to perform the ritual is unlikely, as ritualistic behaviors in OCD are often driven by distress and anxiety.
Choice D rationale:
If ritualistic behavior is restricted in an individual with obsessive- compulsive disorder (OCD), they may experience panic-level anxiety due to their inability to engage in their usual coping mechanism. OCD rituals are often performed to reduce anxiety, and restricting them can lead to increased distress.
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