A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?
Reactions to any previous hospitalizations.
A history of rubella, rubeola, or chicken pox.
Mother's use of alcohol, drugs, or cigarettes during pregnancy.
List of achievement timeline for developmental milestones.
The Correct Answer is C
A. Reactions to any previous hospitalizations can provide some insight into the child's previous healthcare experiences, but it may not be as directly relevant to planning care for an umbilical hernia repair.
B. A history of rubella, rubeola, or chicken pox is important for the child's medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.
C. The mother's use of alcohol, drugs, or cigarettes during pregnancy is particularly relevant when planning care for a child undergoing surgery, as it can affect the child's overall health and potential complications during and after the procedure. Exposure to these substances during pregnancy can lead to various health issues that need to be considered in the child's care plan.
D. A list of achievement timeline for developmental milestones is important for understanding the child's developmental progress, but it may not be the primary consideration when planning care for an umbilical hernia repair.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Surgery should be done by one month to prevent bladder infections. This statement is not accurate. While early surgery is generally recommended, the one-month timeframe is not a strict rule. The primary reason for early correction is to improve the cosmetic appearance of the penis, but it is not primarily aimed at preventing bladder infections.
B. Repair should be done before the child is potty-trained.
Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis rather than at the tip. Surgical correction is typically recommended, and the timing of the surgery is an important consideration.
C. The urethral repair should be done after sexual maturity. This statement is incorrect. Delaying the repair until sexual maturity is not the standard approach. In fact, earlier surgical correction is often recommended to ensure proper urinary function and to avoid potential psychological and social issues in the child.
D. Delaying the repair until school age reduces castration fears. This statement is not supported by current medical practice. Delaying the repair until school age can lead to psychosocial issues, as children may become more self-aware of their condition and experience teasing or psychological distress.
Correct Answer is A
Explanation
A. Digoxin:Digoxin is a cardiac glycoside that can cause toxicity if the heart rate is too low. For infants, the apical pulse should typically be greater than 90-110 beats per minute before administration. Since this infant has an apical pulse of 88 beats/minute, the nurse should withhold digoxin and notify the healthcare provider for further evaluation.
B. Enalapril:Enalapril is an ACE inhibitor used to treat heart failure and hypertension. It can generally be administered as prescribed, regardless of the current heart rate, but blood pressure should be monitored.
C. Furosemide:Furosemide is a diuretic commonly used in heart failure management to reduce fluid overload. It can be administered safely at this time, as it does not have the same pulse considerations as digoxin.
D. Hydralazine:Hydralazine is a vasodilator used to manage hypertension and improve cardiac output. It can be administered without concern for the current heart rate, although blood pressure should be monitored.
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