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 ["Kawasaki disease"," evidenced by the patient's diagnosis of fever for 6 days"," strawberry tongue"," cervical lymphadenopathy"," and irritability."]
Explanation
Kawasaki disease, evidenced by the patient's diagnosis of fever for 6 days, strawberry tongue, cervical lymphadenopathy, and irritability.
Correct Answer is A
Explanation
Cardioversion involves delivering an electrical shock to the heart to restore a normal rhythm. While it may be used for certain types of tachyarrhythmias in adults, it is typically not the first-line treatment for SVT in pediatric patients.
In pediatric patients with SVT, the initial management options often include:
B. Vagal maneuvers: Non-invasive maneuvers like the Valsalva maneuver or carotid sinus massage can be attempted to try and break the SVT rhythm.
C. Adenosine: Adenosine is often the first-line medication used for terminating SVT in pediatric patients. It is given intravenously in a controlled setting under medical supervision.
D. Continue to monitor for 30 minutes: After successful termination of SVT, it's important to continue monitoring the child's heart rhythm and vital signs to ensure that the arrhythmia does not recur.
In pediatric patients, the decision to use cardioversion is usually reserved for situations where other methods, including medications and vagal maneuvers, have not been successful or if the child is unstable. Cardioversion in pediatric patients is performed under sedation or anesthesia to minimize discomfort.
Therefore, while cardioversion may be used in some cases, it is not the initial or most common approach for treating SVT in pediatric patients, making option A the answer to the question.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.