The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

Surgery should be performed within one month to prevent bladder infections.

Postponing the repair until the child reaches school age can alleviate fears of castration.

The repair should be completed before the child is toilet-trained.

The urethral repair should be carried out after the child reaches sexual maturity.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While it’s important to prevent bladder infections, performing surgery within one month is not typically recommended for hypospadias.
Choice B rationale
Postponing the repair until the child reaches school age is not typically recommended. The fear of castration is not usually a consideration in the timing of hypospadias repair.
Choice C rationale
The repair should ideally be completed before the child is toilet-trained. This allows for normal urinary function and reduces potential psychological impact.
Choice D rationale
Waiting until the child reaches sexual maturity is not typically recommended. Early intervention allows for normal development and function.

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Correct Answer is D

Explanation

Choice D rationale
The nurse should instruct the mother to place the child in a quiet environment first. Kawasaki disease is an illness that can cause inflammation in the blood vessels and can lead to symptoms such as irritability and skin peeling. Placing the child in a quiet environment can help reduce stimulation and promote rest, which can help improve the child’s symptoms.
Choice A rationale
Applying lotion to hands and feet may help with the symptom of skin peeling, but it does not address the underlying issue of the child’s irritability or refusal to eat.
Choice B rationale
While it’s important for parents to rest when possible, this does not directly address the child’s symptoms.
Choice C rationale
Making a list of foods that the child likes could potentially help with the child’s refusal to eat, but it does not address the child’s irritability or skin peeling.

A. The surgery provides a visualization of other pathology and dysfunction of the kidney. B. Surgery is necessary to stage the tumor and determine metastasis to other sites. C. Metal clips are surgically applied at the tumor site for exact marking for radiation. D. Biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.

Correct Answer is D

Explanation

Choice A rationale
While surgery can provide a visualization of other pathology and dysfunction of the kidney, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice B rationale
Although staging the tumor and determining metastasis to other sites is an important part of the treatment process, it is not the main reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice C rationale
While metal clips may be surgically applied at the tumor site for exact marking for radiation in some cases, this is not the primary reason for performing surgery before a biopsy in the case of Wilms’ tumor.
Choice D rationale
The main reason for performing surgery before a biopsy in the case of Wilms’ tumor is that a biopsy may rupture the encapsulated tumor and cause the cancer cells to spread.

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The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first?

Correct Answer is D

Explanation

The parents of a child who is diagnosed with Wilm’s tumor ask the nurse why surgery is necessary before a biopsy is performed. What information should the nurse provide?

Correct Answer is D

Explanation

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