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","C","D","E"]

Explanation

a) Airway swelling: Seen in both bronchiolitis and RSV due to inflammation.

b) Barking cough: More commonly associated with croup, not typically a prominent feature in bronchiolitis or RSV.

c) Increased mucus: Both conditions involve increased mucus production.

d) Bronchospasm: Present in both bronchiolitis and RSV due to airway irritation.

e) Air trapping: Can occur in both conditions due to the airway obstruction and inflammation

A. Ineffective tissue perfusion B. Risk for infection C. Risk for fluid volume deficit D. Ineffective thermoregulation

Correct Answer is B

Explanation

a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.

b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.

c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.

d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.

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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

Naxlex Comprehensive Predictor Exams

Which of the following are characteristics seen in bronchiolitis and RSV? (Select All That Apply . )

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

Correct Answer is B

Explanation

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