A nurse is reinforcing teaching about circumcision care with the parent of an infant who just underwent a Plastibell circumcision. Which of the following statements by the parent indicates an understanding of the teaching?
"I will apply antibiotic ointment to my baby's penis."
"I will make sure that my baby's diaper is applied snugly."
"I will wipe away yellow crusts that form around the incision."
"I will apply pressure with gauze if I see bleeding."
The Correct Answer is D
The correct answer is D. The parent should apply pressure with gauze if they see bleeding from the circumcision site, as this can indicate a complication such as infection or dislodgement of the plastic ring. The other statements are incorrect because they can interfere with the healing process or cause harm to the infant. Applying antibiotic ointment can cause irritation or allergic reaction, applying a snug diaper can increase pressure and friction on the penis, and wiping away yellow crusts can remove healthy tissue or cause bleeding .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Being honest with the parents of a child about the need to report suspected abuse is not the correct option. This option involves honesty and ethical responsibility but does not pertain to the fair distribution of resources or benefits.
Choice B reason
Keeping a promise to visit with a client who is housebound after the delivery of care is not the appropriate option. While keeping promises is an ethical principle, it is not related to the fair distribution of resources or benefits.
Choice C reason:
Accepting the decision of an older adult client to live alone in her home is not the correct option. Respecting a client's autonomy and right to make decisions about their living arrangements is an ethical principle, but it is not directly related to distributive justice.
Choice D reason:
The ethical principle of distributive justice is about fair and equitable distribution of resources and benefits within a society or group. It emphasizes providing equal access to services and resources to all individuals, especially those who are vulnerable or marginalized. In this context, the nurse demonstrates distributive justice by ensuring that a homeless client receives preventive medical care, which means they are being provided with necessary health resources and services that might otherwise be challenging for them to access due to their disadvantaged situation.
Correct Answer is D
Explanation
Choice A reason:
Infiltration is not correct: Infiltration occurs when the infused fluid or medication leaks into the surrounding tissue instead of flowing into the vein. This can lead to swelling, coolness, and pallor around the insertion site.
Choice B reason:
Extravasation is not correct: Extravasation is similar to infiltration but specifically refers to the infiltration of vesicant medications, which can cause tissue damage and necrosis.
Choice C reason:
Circulatory overload is not correct: Circulatory overload occurs when a large volume of fluid is infused too quickly, overloading the circulatory system and potentially leading to fluid overload, pulmonary edema, and other related symptoms.
Choice D reason:
Phlebitis is the appropriate fingings. The nurse should document the finding of redness and warmth around the peripheral catheter insertion site as phlebitis. Phlebitis is the inflammation of a vein, often caused by mechanical irritation, chemical irritation, or infection. In this case, the redness and warmth at the insertion site are indicative of inflammation, which is a common sign of phlebitis.
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