A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
"I won't let them use a toy that is straddled for 2 weeks."
"I can let them resume all of their physical activities."
"I'm happy they are no longer at risk of fertility issues when they are older."
"They won't need any pain medications at home."
The Correct Answer is B
A. "I won't let them use a toy that is straddled for 2 weeks." This is a correct restriction to prevent strain on the surgical area.
B. "I can let them resume all of their physical activities." This is likely not true. Activity restrictions might be necessary for healing.
C. "I'm happy they are no longer at risk of fertility issues when they are older." While orchiopexy can improve the chance of future fertility, it's not a guarantee.
D. "They won't need any pain medications at home." Pain medication might be prescribed for post-surgical discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Soak combs and brushes in boiling water for 10 min. Incorrect. While cleaning items is important, soaking combs and brushes in boiling water is more relevant to head lice, not scabies. Scabies mites live on skin and are unlikely to infest combs and brushes.
B. Treat everyone who came into close contact with the child. Correct. Scabies is highly contagious and spreads through close personal contact. All household members and close contacts should be treated simultaneously to prevent reinfestation.
C. Apply petroleum jelly to the affected areas. Incorrect. The treatment for scabies involves prescription scabicides (such as permethrin cream), not petroleum jelly.
D. Wash the child's hair with shampoo containing ketoconazole. Incorrect. Ketoconazole shampoo is used for fungal infections like dandruff or seborrheic dermatitis, not scabies.
Correct Answer is A
Explanation
A. Provide for periods of rest. Correct. Children with heart failure have reduced exercise tolerance and fatigue easily. Regular periods of rest help prevent overexertion and cardiac strain.
B. Increase the child's oxygen flow rate until the child no longer has cyanosis. This can be dangerous. Oxygen therapy should be used as prescribed by a healthcare provider, as excessive oxygen can lead to oxygen toxicity or other complications, especially in children with heart conditions.
C. Withhold digoxin if the child's pulse is greater than 100/min. Digoxin is typically withheld if the heart rate is too low (bradycardia), not high. The nurse should follow specific parameters set by the healthcare provider, but a pulse greater than 100/min is not a standard reason to withhold digoxin.
D. Weigh the child once each month. In children with heart failure, daily weights are important to monitor fluid status and detect worsening heart failure. Monthly weighing is not frequent enough.
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