A nurse is providing teaching to the parents of a newborn who has been circumcised. Which of the following instructions should the nurse include in the teaching?

Wrap sterile gauze around the penis if bleeding occurs.

Remove yellow exudate around the penis.

Apply petroleum jelly to the glans with diaper changes.

Use soap to cleanse the site.

Answer and Explanation

The Correct Answer is C

Choice A reason: Wrapping sterile gauze for bleeding is inappropriate; gentle pressure and provider notification are needed. Petroleum jelly prevents adhesion. Using gauze risks infection or trauma, critical to avoid in ensuring safe circumcision healing, supporting parental care, and preventing complications in newborns post-procedure.

Choice B reason: Removing yellow exudate, a normal healing sign, risks disrupting the circumcision site, causing pain or infection. Petroleum jelly is correct. Assuming removal is needed risks delayed healing, critical to prevent in ensuring proper wound care and parental education for newborns post-circumcision.

Choice C reason: Applying petroleum jelly to the glans with diaper changes prevents diaper adhesion, promotes healing, and reduces discomfort post-circumcision. This instruction is critical for parental care, ensuring infection prevention, supporting newborn comfort, and facilitating proper healing in the sensitive post-procedure period.

Choice D reason: Using soap on the circumcision site risks irritation and delayed healing; gentle water cleansing is preferred. Petroleum jelly is appropriate. Assuming soap is safe risks discomfort or infection, critical to avoid in ensuring proper care and healing for newborns following circumcision procedures.

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Correct Answer is C

Explanation

Choice A reason: Personal blogs are unreliable, lacking evidence-based guidance for diabetes management, risking misinformation. ADA food exchange lists are credible. Providing blogs risks client confusion or harmful practices, critical to avoid in ensuring accurate, safe dietary education for type 2 diabetes mellitus management.

Choice B reason: The Institute of Medicine does not provide specific food label recommendations for diabetes; ADA exchange lists are standard. Assuming IOM resources are appropriate risks inadequate dietary guidance, potentially affecting glycemic control, critical to prevent in supporting effective diabetes self-management at discharge.

Choice C reason: ADA food exchange lists provide evidence-based meal planning, helping clients manage type 2 diabetes through balanced carbohydrate intake. This resource is critical for glycemic control, promoting adherence, ensuring nutritional education, and supporting long-term health, essential for effective diabetes management post-discharge.

Choice D reason: The Physicians’ Desk Reference provides medication details but not dietary guidance, unlike ADA exchange lists for diabetes meal planning. Assuming PDR is sufficient risks neglecting nutritional education, critical to avoid in ensuring comprehensive diabetes self-management and glycemic control at discharge.

A. Place the client in a supine position while resting. B. Perform an ECG every 12 hours. C. Draw a troponin level every 4 hours. D. Obtain a cardiac rehabilitation consultation.

Correct Answer is D

Explanation

Choice A reason: Supine positioning risks respiratory strain post-myocardial infarction; semi-Fowler’s is preferred. Cardiac rehabilitation is appropriate. Assuming supine is correct risks discomfort or complications, critical to avoid in ensuring proper positioning and recovery support for clients 3 days post-acute myocardial infarction.

Choice B reason: ECG every 12 hours is excessive 3 days post-myocardial infarction unless symptomatic; daily or as-needed is standard. Rehabilitation consultation is key. Assuming frequent ECGs risks unnecessary testing, critical to prevent in focusing on recovery planning and rehabilitation for post-infarction clients.

Choice C reason: Troponin levels every 4 hours are unnecessary 3 days post-myocardial infarction, as levels peak earlier; rehabilitation is priority. Assuming frequent troponin checks risks redundant testing, critical to avoid in ensuring appropriate care focus on recovery and rehabilitation post-acute myocardial infarction.

Choice D reason: Obtaining a cardiac rehabilitation consultation 3 days post-myocardial infarction supports recovery through structured exercise and education, critical for preventing further events. This intervention promotes long-term cardiac health, essential for reducing readmissions, enhancing recovery, and improving quality of life in post-infarction clients.

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A nurse is providing teaching to the parents of a newborn who has been circumcised. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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