Nokea
The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?
- A. It is very common in the newborn that one gonad is larger than the other.'
- B. Birth trauma caused bruising to the scrotum. It will reduce in size in a few days.'
- C. It is a collection of fluid that will most likely correct itself in a year.'
- D. The doctor will drain this collection of blood before your baby is discharged.'
Correct Answer: C
Rationale: These signs are indicative of a hydrocele, a collection of fluid in the scrotum that usually corrects itself in a year.
You may also like to solve these questions
A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?
- A. Providing activities for the child on restricted activity
- B. Feeding the child a protein-restricted diet
- C. Carefully handling edematous extremities
- D. Observing the child for evidence of hypotension
Correct Answer: A
Rationale: Although children may feel well, activity is limited until hematuria resolves.
The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
- A. Can interfere with the treatment for nephrosis.
- B. Require that the child have antibiotic coverage.
- C. Can be given in smaller, divided doses.
- D. Should be delayed.
Correct Answer: D
Rationale: No vaccinations or immunizations should be administered while the disease is active and during immunosuppressive therapy.
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
- A. Ibuprofen, an anti-inflammatory agent
- B. Furosemide (Lasix), a diuretic
- C. Ciprofloxacin (Cipro), an antibiotic
- D. Cyclophosphamide (Cytoxan), an antisuppressant
Correct Answer: D
Rationale: A potent antisuppressant such as Cytoxan can bring about diuresis when corticosteroids have proven ineffective.
Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
- A. Performing range-of-motion exercises on lower extremities
- B. Palpating the abdomen
- C. Assessing for bowel sounds
- D. Percussing ankle and knee reflexes
Correct Answer: B
Rationale: Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: The ileal conduit diverts urine to the colon, and the urine is excreted with the feces, requiring no external appliance.