The parents of a male newborn have signed an informed consent for circumcision. Which priority intervention should the nurse implement upon completion of the circumcision?
Offer a pacifier dipped in glucose water.
Give a PRN dose of liquid acetaminophen.
Place petrolatum gauze dressings on the site.
Wrap the infant in warm receiving blankets.
The Correct Answer is C
Choice A rationale
Glucose water may be soothing due to the sweet taste, but it does not address the immediate need to protect the circumcision site from infection and aid in healing.
Choice B rationale
Liquid acetaminophen provides pain relief, but it does not address the immediate need to protect the circumcision site. Pain management alone is not sufficient for postoperative care.
Choice C rationale
Applying petrolatum gauze dressings on the site prevents the wound from sticking to the diaper, reduces irritation, and protects against infection, promoting healing. This is a priority intervention post-circumcision.
Choice D rationale
While keeping the infant warm is important for comfort and stability, it does not directly address the need to care for the circumcision site to prevent complications and promote healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Erythromycin ointment is effective for preventing ophthalmia neonatorum, a severe eye infection caused by Neisseria gonorrhoeae. It reduces the risk of blindness by inhibiting bacterial growth in the newborn's eyes.
Choice B rationale
Neomycin is not effective against Neisseria gonorrhoeae and is not recommended for preventing ophthalmia neonatorum. It is typically used for skin infections and lacks efficacy in this scenario.
Choice C rationale
Tetracaine is a topical anesthetic used for numbing the eyes. It does not possess antibacterial properties required to prevent ophthalmia neonatorum caused by Neisseria gonorrhoeae.
Choice D rationale
Latanoprost is a prostaglandin analog used to treat glaucoma by reducing intraocular pressure. It does not have antibacterial properties to prevent ophthalmia neonatorum in newborns.
Correct Answer is B
Explanation
Choice A rationale
Documenting the finding in the medical record is routine, but it does not address the potential concern of the fundal height discrepancy, which may indicate a need for further evaluation.
Choice B rationale
Scheduling a biophysical profile is crucial to assess the well-being of the fetuses, especially given the discrepancy in fundal height, which could indicate issues such as growth restriction or polyhydramnios.
Choice C rationale
Requesting another nurse to measure the fundus might help verify the measurement but does not address the potential underlying issue, which requires further assessment like a biophysical profile.
Choice D rationale
Notifying the healthcare provider is necessary, but it is more appropriate to first schedule a biophysical profile to gather comprehensive information on the fetal well-being before consulting the provider.
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