When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. This should be interpreted as a(n):
- A. normal finding.
- B. hydrocele.
- C. absence of testes.
- D. inguinal hernia.
Correct Answer: B
Rationale: A hydrocele presents as a fluid-filled sac surrounding the testes within the scrotum. In newborns, it is a common finding due to the open connection between the peritoneal cavity and the scrotum that may allow fluid to accumulate. This can result in a large, edematous, and pendulous scrotum. Hydroceles are usually benign and tend to resolve on their own within the first year of life. In contrast, the absence of testes (cryptorchidism) would be identified as the inability to palpate the testes in the scrotum or inguinal canal. An inguinal hernia would present as a bulge in the inguinal area caused by a loop of intestine protruding through a weak spot in the abdominal wall.
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Orchitis and sterility in male result as serious complication of
- A. rubella
- B. measles
- C. mumps
- D. diphtheria 126
Correct Answer: C
Rationale: Orchitis refers to the inflammation of the testicles, which can occur as a complication of mumps infection in males. Mumps is a viral infection caused by the mumps virus, and one of the common complications of mumps in males is orchitis. Orchitis can lead to testicular damage and potentially result in sterility if both testicles are affected. It is essential for males to receive the MMR (measles, mumps, rubella) vaccine to prevent mumps infection and its associated complications, including orchitis and sterility.
Which is an effective strategy to reduce the stress of burn dressing procedures?
- A. Give the child as many choices as possible.
- B. Reassure the child that dressing changes are not painful.
- C. Explain to the child why analgesics cannot be used.
- D. Encourage the child to master stress with controlled passivity.
Correct Answer: A
Rationale: Giving the child as many choices as possible is an effective strategy to reduce the stress of burn dressing procedures. Allowing the child to have some control over the situation can help them feel more empowered and less anxious. By giving choices, such as letting the child choose the order in which things are done or the type of dressing used, the child is more likely to feel a sense of autonomy and reduced stress during the procedure. This approach can help the child cope better with the dressing changes and make the experience more manageable for them.
Why is heart biopsy performed throughout a clients lifetime after heart transplantation?
- A. To detect rejection
- B. To check the heart functionality
- C. To check rate of the heartbeat
- D. To check for heart tumor CARING FOR CLIENTS WITH HYPERTENSION
Correct Answer: A
Rationale: Heart biopsy is performed throughout a client's lifetime after heart transplantation mainly to detect rejection. Rejection is a common complication following a heart transplant where the recipient's immune system recognizes the transplanted heart as foreign tissue and attacks it. By conducting heart biopsies, healthcare providers can monitor the health of the transplanted heart and detect signs of rejection early on. This allows for prompt intervention and adjustment of the client's immunosuppressive therapy to prevent further damage to the transplanted heart. Monitoring for rejection through heart biopsies is crucial in ensuring the long-term success of heart transplants and the overall well-being of the recipient.
A nurse is planning care for a preterm newborn. Which interventions should the nurse implement for skin care? (Select all that apply.)
- A. Use cleaning agents with neutral pH.
- B. Rub skin during drying.
- C. Use adhesive remover solvent when removing tape.
- D. Avoid removing adhesives for at least 24 hours.
Correct Answer: A
Rationale: Using cleaning agents with neutral pH is important for the delicate skin of a preterm newborn to prevent irritation and damage.
A client with vaginal cancer asks the nurse, "What is the usual treatment for this type of cancer?" Which treatment should the nurse name?
- A. Surgery
- B. Radiation
- C. Chemotherapy
- D. Immunotherapy
Correct Answer: A
Rationale: The usual treatment for vaginal cancer typically involves surgery. The specific type of surgery can vary depending on the stage and type of cancer, but it often includes removal of the tumor or affected tissue. In some cases, surgery may be combined with other treatments such as radiation or chemotherapy to enhance the effectiveness of the treatment. Surgery is considered a primary treatment option for many cases of vaginal cancer, particularly in early stages where the goal is to remove the cancerous cells and prevent further spread.