The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

"Circumcision will be delayed to save tissue for the surgical repair."

"Emergency surgical repair will be necessary to restore normal function."

"Your child's urethral opening is located on the top of the penis."

"Your child's testicles have not descended into the scrotal sac."

Answer and Explanation

The Correct Answer is A

A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.

B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.

C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.

D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.

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Correct Answer is A

Explanation

A. Acetaminophen can be used to manage mild discomfort after cardiac catheterization. It is a safe option for pain relief and is commonly recommended for children following the procedure.

B. Bed rest is typically recommended for a shorter duration, often 24 hours, not a full week. Extended bed rest is not usually required unless complications occur.

C. The diet should be advanced as tolerated, but there is no specific requirement to wait 24 hours; this will depend on the child’s recovery and tolerance.

D. Bathing recommendations often include avoiding submerging the site in water, so a tub bath may not be advised for the first few days to prevent infection. Sponge baths might be recommended instead.

A. Reduced intellectual processing B. Slow, lethargic movements C. Recent weight loss D. Swollen, protuberant abdomen

Correct Answer is C

Explanation

A. Reduced intellectual processing is not typically associated with hyperthyroidism; it is more commonly associated with hypothyroidism.

B. Slow, lethargic movements are more indicative of hypothyroidism rather than hyperthyroidism.

C. Recent weight loss is a common symptom of hyperthyroidism due to increased metabolic rate and appetite changes.

D. A swollen, protuberant abdomen is not a typical symptom of hyperthyroidism. It is more associated with other conditions such as hypothyroidism or gastrointestinal issues.

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The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?

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Naxlex Comprehensive Predictor Exams

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