A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias, Which order by the pediatrician is contraindicated?
Hepatitis B vaccine
Straight Catheterization
Hearing screening
Circumcision
The Correct Answer is D
Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of the tip. Circumcision is contraindicated in infants with hypospadias because the foreskin may be used for surgical repair in some cases. The urologist may need to use the foreskin tissue for reconstructive surgery to correct the hypospadias, making circumcision inappropriate at this time.
The other options are appropriate:
A. Hepatitis B vaccine: Vaccination is important for the prevention of infectious diseases.
B. Straight catheterization: This may be necessary for medical evaluation or management but should be done as indicated by the medical team.
C. Hearing screening: Hearing screening is a routine evaluation for newborns and infants to identify hearing problems early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["480"]
Explanation
To calculate the total volume the patient will receive, you can use the formula:
Total Volume = Rate x Time
In this case, the rate is 20 mL/hr, and the time is 24 hours. Now, calculate:
Total Volume = 20 mL/hr x 24 hr = 480 mL
So, the patient will receive a total of 480 mL of the 0.9% NS solution.
Correct Answer is C
Explanation
APSGN is characterized by inflammation of the glomeruli in the kidneys, which can lead to decreased kidney function and impaired urine output. As the condition begins to improve, one of the first signs is an increase in urine output. This is because the inflammation in the glomeruli starts to resolve, allowing the kidneys to filter blood more effectively and produce a higher volume of urine.
Now, let's discuss why the other options are incorrect:
A. Increased energy levels: While improved energy levels can be a positive sign in a child recovering from an illness, they are not typically the earliest sign of improvement in APSGN. Energy levels may improve as the child's overall condition gets better, but this improvement often follows an increase in urine output.
B. Decreased diarrhea: APSGN primarily affects the kidneys, not the gastrointestinal tract. Therefore, diarrhea is not a direct symptom of this condition. Improving kidney function and urine output would not directly impact diarrhea.
D. Increased appetite: Like increased energy levels, an improved appetite can be a positive sign in recovery, but it is not typically the earliest sign of improvement in APSGN. It is generally more related to overall recovery and feeling better after the acute phase of the illness.
In summary, while all of these signs can be positive indicators of a child's recovery, increased urine output is usually the earliest and most specific sign of improvement in acute post-streptococcal glomerulonephritis, as it directly reflects the resolution of kidney dysfunction.
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