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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale:

The client's parent is typically the legal decision-maker for a 19-year-old client who is unable to make decisions due to their condition. Approaching the client's parent about considering organ donation is appropriate.

Choice B rationale:

While family dynamics can vary, the parent is usually the primary decision- maker for a minor or incapacitated individual. The grandparents may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.

Choice C rationale:

The client's older sibling may be consulted or involved in the decision- making process, but the parent's consent is generally required for organ donation.

Choice D rationale:

The client's spouse may be consulted or involved in the decision-making process, but the parent's consent is generally required for organ donation.

A. Increased thirst B. Decreased secretions C. Flushing of the extremities D. Periods of apnea

Correct Answer is B

Explanation

Choice A rationale:

Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.

Choice B rationale:

Decreased secretions can occur as the body's systems gradually shut down during the dying process.

Choice C rationale:

Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.

Choice D rationale:

Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 19-year-old client who is dying following a motor vehicle crash. Which of the following individuals should the nurse approach first about considering organ donation?

Correct Answer is A

Explanation

A nurse is providing teaching about physiological changes that occur during the dying process to the family of a client who has a terminal illness. Which of the following manifestations should the nurse include?

Correct Answer is B

Explanation

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