A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching?
"I will keep the penis clean of yellow exudate."
"I will apply petroleum jelly to the penis with each diaper change."
"I will make sure my baby's diaper fits snugly."
"I will use soap to wash the penis until it heals."
The Correct Answer is B
The correct answer is b. "I will apply petroleum jelly to the penis with each diaper change."
Choice A rationale:
- It is incorrect to focus on removing all yellow exudate. A small amount of yellow exudate is normal during the healing process after circumcision. Attempting to aggressively clean it off can irritate the delicate healing tissues and cause discomfort for the baby.
- Instead, parents should gently cleanse the area with warm water during diaper changes, allowing any mild exudate to naturally drain.
Choice B rationale:
- Applying petroleum jelly with each diaper change is an essential step in promoting healing and preventing discomfort after circumcision. Here's why:
- Protects against moisture: Petroleum jelly forms a barrier that protects the delicate healing tissues from moisture from urine and feces. This helps to prevent irritation and keeps the area clean.
- Reduces friction: The lubricating properties of petroleum jelly reduce friction between the penis and the diaper, which can minimize discomfort and pain for the baby.
- Promotes healing: Petroleum jelly creates a moist environment that promotes healing and reduces scab formation. This helps the circumcision site to heal faster and more comfortably.
Choice C rationale:
- While ensuring a proper diaper fit is important for overall hygiene, it's not the most crucial aspect of post-circumcision care. A snug diaper can put unnecessary pressure on the healing penis, potentially causing irritation and discomfort. It's generally recommended to choose a diaper that fits comfortably without being too tight.
Choice D rationale:
- Using soap to wash the penis is not recommended during the healing process. Soap can be harsh and drying to the delicate tissues, potentially causing irritation and delaying healing.
- Warm water is sufficient for cleansing the area during diaper changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: B. You can take a shower 1 day after your procedure.
Rationale:
A. You can resume a regular diet 3 days after your procedure:
There is typically no need to delay resuming a regular diet for three days after a cardiac catheterization. Most clients can resume their usual diet shortly after the procedure once they are fully awake and any nausea has resolved.
B. You can take a shower 1 day after your procedure:
It is generally safe to shower the day after a cardiac catheterization as long as the insertion site remains protected. Clients should avoid soaking in a bath or swimming until the site is fully healed to prevent infection.
C. You can begin exercising 2 days after your procedure:
Strenuous activities, including exercise, should generally be avoided for a few days to a week following a cardiac catheterization. This allows time for the insertion site to heal and reduces the risk of complications such as bleeding.
D. You can return to school 1 week after your procedure:
Most clients can return to school or normal activities within a few days, provided they feel well and avoid excessive physical exertion. A full week off is typically not necessary unless specified by the healthcare provider based on the individual’s recovery.
Correct Answer is A
Explanation
a. Giving broad openings
The nurse is using the therapeutic technique of giving broad openings. This technique encourages the client to freely express themselves and choose the focus of the conversation. By asking, "What has been happening with you today?" the nurse is inviting the client to share their thoughts, feelings, and experiences without imposing any specific topic or direction.
Explanation for the other options:
b. Focusing: Focusing is a therapeutic technique where the nurse directs the conversation to a specific topic or issue. In this scenario, the nurse is not guiding the client's response toward a particular area of discussion.
c. Reflecting: Reflecting is a therapeutic technique where the nurse repeats or paraphrases the client's words or feelings to demonstrate understanding and encourage further exploration. The nurse's statement in this scenario does not involve reflecting the client's words or feelings.
d. Seeking clarification: Seeking clarification is a therapeutic technique used to obtain more specific information or clear up any confusion. The nurse's statement in this scenario does not involve seeking clarification from the client.
In summary, by using a broad opening, the nurse allows the client to choose the focus of the conversation
and encourages them to share their experiences and concerns.
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