Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

The infant has blood in urine

The infant has received two doses of morphine per PRN orders

The infant has voided one time since returning from surgery

Double diapering the infant has resulted in the stent being free from stool contamination

Answer and Explanation

The Correct Answer is A

a) Blood in the urine after hypospadias repair could indicate postoperative bleeding, and it's a significant finding that should be reported promptly to the surgeon.

b) Administration of morphine according to PRN orders is a common postoperative pain management strategy and might not require immediate reporting unless there are concerns about the dosage or the child's response.

c) Voiding once after surgery is expected and not necessarily concerning unless there are additional issues or complications.

d) Ensuring the stent is free from stool contamination is important for postoperative care but doesn't require immediate reporting to the surgeon unless there are signs of infection or other complications.

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Correct Answer is C

Explanation

a) 90 mL’s: This amount is larger than the typical stomach capacity of a newborn at the end of the first month.

b) 300 mL’s: Exceeds the normal stomach capacity of a newborn at the end of the first month.

c) 30 mL’s: By the end of the first month, a newborn's stomach capacity is around 30 mL's, gradually increasing over time.

d) 150 mL’s: This amount is larger than the normal stomach capacity of a newborn at the end of the first month.

A. Risk for aspiration related to regurgitation B. Acute pain related to esophageal defect C. Ineffective tissue perfusion gastrointestinal related to decreased circulation D. Ineffective feeding pattern related to uncoordinated suck and swallow

Correct Answer is A

Explanation

a) Risk for aspiration related to regurgitation: With esophageal atresia and tracheoesophageal fistula, the risk of aspiration due to the abnormal connection between the trachea and esophagus is a significant concern. Preventing aspiration is a priority.

b) Acute pain related to esophageal defect: Pain might be present but managing the risk of aspiration is more immediate.

c) Ineffective tissue perfusion gastrointestinal related to decreased circulation: While important, preventing aspiration takes precedence.

d) Ineffective feeding pattern related to uncoordinated suck and swallow: A valid concern but not as critical as the risk of aspiration.

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Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

Nursing Test Bank

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