An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?

No treatment is necessary, the fluid is reabsorbing normally

Keeping the infant in a flat, supine position until the fluid is gone

Referral to a surgeon for repair

Massaging the groin area twice a day until the fluid is gone.

Answer and Explanation

The Correct Answer is A

A. No treatment is necessary, the fluid is reabsorbing normally:

- This option suggests that the hydrocele is resolving spontaneously, which is often the case in infants. The physician may choose to observe the hydrocele over time as it is likely to resolve without intervention.

B. Keeping the infant in a flat, supine position until the fluid is gone:

- This option does not address the underlying cause of the hydrocele and is not a standard treatment recommendation. Additionally, positioning changes are unlikely to affect the resolution of the hydrocele.

C. Referral to a surgeon for repair:

- Surgical repair may be considered if the hydrocele persists beyond a certain age or if it causes discomfort or complications. However, it is typically not recommended in infants unless the hydrocele persists beyond infancy or causes other issues.

D. Massaging the groin area twice a day until the fluid is gone:

- Massaging the groin area is not a recommended treatment for hydrocele and may not be effective in resolving the condition. Additionally, manipulating the scrotum may cause discomfort or injury to the infant.

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Correct Answer is A

Explanation

A. Pain management is critical for burn care, especially before activities like physical therapy that can be painful. Administering pain medication 30 minutes before therapy helps ensure the child is more comfortable and able to participate effectively in rehabilitation. This is a recommended intervention.

B. While involving the child in decisions about their care can promote autonomy and improve adherence, the schedule for burn care and therapy should be based on medical needs and healing processes rather than the child's preference. Care schedules should be designed to optimize healing and manage pain effectively.

C. Provide low-calorie snacks:Burn patients typically have increased nutritional needs due to the high metabolic demands of healing. High-calorie, protein-rich snacks are usually recommended to support wound healing and overall recovery, rather than low-calorie options.

D. Maintain medical asepsis during dressing changes: For burn care, maintaining sterile technique is critical to prevent infection. Medical asepsis is generally not sufficient; sterile technique is required for dressing changes to reduce the risk of infection.

A. “There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance." B. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye." C. "My child will outgrow this by the time he is 2 years old and be able to see just fine." D. "If this eye patch does not work I know we will have to do surgery to correct my child's crossed eyes."

Correct Answer is C

Explanation

A. "There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance.": This statement demonstrates the mother's comprehension of the cause of strabismus, which can indeed result from a muscle imbalance affecting the alignment of the eyes. Understanding the cause is essential for the mother to grasp the rationale behind treatment interventions.

B. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye.": Patching the stronger eye is a common treatment approach for strabismus to encourage the weaker eye to become stronger and improve alignment. The mother's statement indicates her awareness of this treatment modality.

C. "My child will outgrow this by the time he is 2 years old and be able to see just fine.": While some cases of strabismus may improve as a child grows, not all cases resolve spontaneously. This statement suggests the mother's belief in the possibility of spontaneous resolution, which may be accurate in some instances but not guaranteed for all cases of strabismus.

D. "If this eye patch does not work I know we will have to do surgery to correct my child's crossed eyes.": Surgery is indeed an option for correcting strabismus, especially if conservative measures like patching do not yield satisfactory results. The mother's understanding of this potential treatment escalation reflects her grasp of the condition's management plan.

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An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?

Nursing Test Bank

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A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

The nurse is instructing a mother of a 1-year-old child with strabismus about the treatment options. Which statement by the mother would indicate the need for further teaching?

Correct Answer is C

Explanation

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