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The parents of a neonate with hypospadias and chordee wish to have him circumcised. Which of the following explanations should the nurse incorporate into the discussion with the parents concerning the recommendation to delay circumcision?
- A. The associated chordee is difficult to remove during circumcision.
- B. The foreskin is used to repair the deformity surgically.
- C. The meatus can become stenosed, leading to urinary obstruction.
- D. The infant is too small to have a circumcision.
Correct Answer: B
Rationale: The foreskin is needed for surgical repair.
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The nurse is teaching a group of parents about sickle cell anemia. Which statement by a parent indicates a need for further teaching?
- A. Sickle cell anemia is a genetic disorder.'
- B. Crises can be triggered by dehydration.'
- C. The disease only affects African Americans.'
- D. Oxygen therapy may be needed during a crisis.'
Correct Answer: C
Rationale: Sickle cell anemia affects various ethnic groups, not only African Americans. The other statements are accurate, indicating understanding.
A nurse is assessing the growth and development of a 14-year-old boy. He reports that his 13-year-old sister is 2 inches taller than he is. The nurse should advise the boy that the growth spurt in adolescent boys, compared with the growth spurt of adolescent girls:
- A. Occurs at the same time.
- B. Occurs 2 years earlier.
- C. Occurs 2 years later.
- D. Occurs 1 year earlier.
Correct Answer: C
Rationale: Boys' growth spurts occur about 2 years later than girls', typically around 13-15 years.
To assess a 9-year-old's social development, the nurse asks the parent if the child:
- A. Thinks independently.
- B. Is able to organize and plan.
- C. Has a best friend.
- D. Enjoys active play.
Correct Answer: C
Rationale: Having a best friend indicates healthy social development at 9 years.
A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse should immediately:
- A. Put the client to bed.
- B. Obtain the child's blood pressure.
- C. Notify the physician.
- D. Administer acetaminophen (Tylenol).
Correct Answer: B
Rationale: Symptoms may indicate hypertensive crisis.
A 7-year-old child is experiencing pain after an appendectomy. Which data collection tool should the nurse use to assess the pain?
- A. Visual analog scale.
- B. Short Form McGill Questionnaire.
- C. FACES Pain Rating Scale.
- D. Numeric Pain Intensity Scale.
Correct Answer: C
Rationale: The FACES scale is age-appropriate for a 7-year-old to assess pain.