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 A

Explanation

a) Hemolytic uremic syndrome: This condition often follows gastrointestinal infection caused by certain E. coli strains, leading to kidney damage and renal failure, particularly in children.

b) Hypovolemic shock: While severe dehydration and shock can affect renal function, they are not direct causes of prenatal renal failure.

c) Congenital obstructive urethra: This condition occurs when the urethra, the tube that carries urine from the bladder to the outside of the body, is blocked or narrowed. This can prevent urine from draining properly and cause damage to the kidneys before birth.

d) Glomerulonephritis: It's a kidney inflammation condition but not typically associated with prenatal renal failure.

A. Poker chip tool B. Faces pain rating scale C. FLACC pain scale D. Duchar scale

Correct Answer is C

Explanation

a) Poker chip tool: Typically used for older children who can understand and articulate pain levels.

b) Faces pain rating scale: Also used for older children who can express themselves using facial expressions.

c) FLACC pain scale: Designed for non-verbal or pre-verbal children, assessing facial expressions, leg movement, activity, cry, and consolability.

d) Duchar scale: There isn't a widely recognized pain assessment tool known as the "Duchar scale" in pediatric pain management

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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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