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 B

Explanation

Choice A rationale
While placing a toy in the child’s hands might distract the child during the assessment, it does not actively involve the child in the process or help them understand what is happening.
Choice B rationale
Allowing the child to use a stethoscope on a stuffed animal can help the child understand what is happening and feel more comfortable with the procedure. This technique is often used to ensure the cooperation of a preschooler during an assessment of lung sounds.
Choice C rationale
Offering the child bubbles before the stethoscope is placed might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.
Choice D rationale
Having the child blow a cotton ball and having the parent catch it might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.

Correct Answer is ["1"]

Explanation

Step 1 is: Identify the prescribed dose, which is 5 mg.

Step 2 is: Identify the concentration of the medication, which is 5 mg per 5 mL.

Step 3 is: Calculate the volume to administer using the formula: (Prescribed dose ÷ Concentration) × Volume. So, (5 mg ÷ 5 mg/5 mL) = 5 mL. Since 1 teaspoon is approximately 5 mL, the nurse should instruct the parent to give 1 teaspoon with each dose.

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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

The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child’s cooperation?

Correct Answer is B

Explanation

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

Correct Answer is ["1"]

Explanation

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