Nokea
The nurse is caring for a newborn who has just been diagnosed with hypospadias. When discussing the defect with the parents, the nurse should communicate that
- A. Circumcision can be performed at any time
- B. Initial repair is delayed until 6-8 years of age
- C. Post-operative appearance will be normal
- D. Surgery will be performed in stages
Correct Answer: D
Rationale: Surgery will be performed in stages. Hypospadias correction is done in stages as soon as the infant can tolerate surgery.
You may also like to solve these questions
The nurse is caring for a client with a history of bipolar disorder who is prescribed lithium. Which of the following laboratory values should the nurse monitor?
- A. Serum sodium.
- B. Serum glucose.
- C. Serum calcium.
- D. Serum hemoglobin.
Correct Answer: A
Rationale: Lithium can cause hyponatremia, and monitoring serum sodium ensures safe levels (therapeutic lithium range: 0.6–1.2 mEq/L). Glucose (B), calcium (C), and hemoglobin (D) are not directly affected by lithium therapy.
A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?
- A. Explain that the purple marks must stay on her because they tell the doctors where to beam the radiation
- B. Suggest that alcohol will make it easier to remove the marks
- C. Say, 'You feel the marks are ugly.'
- D. Ask her if she checked with her physician before trying to remove the purple marks
Correct Answer: A
Rationale: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.
When teaching a mother about communicable diseases
When teaching a mother about communicable diseases, the nurse informs her that chickenpox is:
- A. Still communicable until all the vesicles have dried.
- B. Still communicable even when just dried scabs remain.
- C. No longer communicable after a high fever has subsided.
- D. Not communicable as long as the vesicles are intact and surrounded by a red areola.
Correct Answer: A
Rationale: Chickenpox is communicable until all vesicles have crusted over.
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Appropriate patient teaching when the chest tube is removed:
- A. Instruct the patient take deep breath and hold it during removal.
- B. Inform the patient that this is not a painful procedure.
- C. Ensure that the site is covered with a loose, dry dressing.
- D. Expect tachypnea after the removal.
Correct Answer: A
Rationale: Holding a deep breath during removal prevents air entry into the pleural space.
On the day of surgery, the nurse noted the following laboratory results.
Which one should be reported to the surgeon immediately?
- A. Creatinine level 1.7 mg/dl.
- B. WBC 12,000.
- C. Hemoglobin 12 mg/dl.
- D. Potassium level 5.0 mEq/L.
Correct Answer: B
Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.