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NUR353 Exam 3 Questions And Accurate Answers
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NUR353 Exam 3 Questions And Accurate AnswersWhat is the most appropriate plan of care for this newborn with hypospadias?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed - ANSWER Giving
the parents reasons why circumcision should not be performed.
-The parents should be educated on why the child is not being circumised. The foreskin
may be utilised to repair and reconstruct the penis. No cystostomy tube is placed
because voiding is not interfered with. Hypospadias is not a genetic disorder although
there does appear to be some evidence that it is familial. Generally, the penis is
wrapped in petrolatum gauze after, and not before surgical correction of hypospadias.
A school-aged child is prepared for ambulation the day after abdominal appendectomy.
Which nursing action would be most effective pre-ambulation?
Rest period
2
Reward for walking
3
Spirometer use encouragement
4
Administration of pain medication as ordered - ANSWER Administration of pain
medication as ordered
,After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
1
Frequency of crying
2
Amount of oral intake
3
Character of stools
4
Absent or loss of bowel sounds - ANSWER Characteristics of stool
Since intussusception causes intestinal obstruction due to the "telescoping" of the
intestine and the entrapment, passage of intestinal contents is reduced; the passage of
stool becomes red currant jelly in character as the result of mixture of blood and mucus
in the stool. Bowel sounds are not affected
Prior to discharge, a 9-year-old who is receiving treatment for APSGN, what instruction
the nurse should plan to provide to the parents?
1
How to take the vital signs daily
2
Date on which to return to prepare for renal dialysis
3
Information about which foods that are high in sodium to avoid
4
Activities that will promote the child to stay active - ANSWER Information about which
foods that are high in sodium to avoid
,Sodium is often restricted to maintain or prevent edema or hypertension until the child is
asymptomatic. The child is often maintained on a regular diet with sodium restriction,
such as salty snacks- potato chips, pretzels, tortilla chips-hot dogs, bacon, bologna, and
other processed meats. The child should rest and not be active.
A three-month old baby presents with congenital hypothyroidism. The nurse is to start
the baby on levothyroxine. Three months later, in a follow-up visit, which of the following
statements by the mother would the nurse believe that the medication is working?
unfortunate
The infant appears alert and interactive.
The skin is cool to the touch.
The fine tremor of the infant has resolved.
The thyroid stimulating hormone level of the infant is high. - ANSWER The infant appears
alert and interactive.
Infants with congenital hypothyroidism are lethargic and may even need to be awakened
and stimulated to nurse; therefore, an infant who is alert and interacts appropriately for
its age would demonstrate improvement.
At the beginning of the first formula feeding a newborn begins to cough and choke, and
the lips become cyanotic. What is the nurse's priority action in response to this
situation?
1
Stimulate crying
2
Substitute sterile water for the formula
3
Suction and then oxygenate the newborn
4
Clamp the cord for 10 minutes and then unclamp it Stop the feeding for a moment and
then reinstitute the feeding -ANSWER suction and then oxygenate the newborn
Cyanosis, choking, and coughing indicate aspiration and hypoxia. The need is to suction
and oxygenate. Crying would increase the distress. Water may be aspirated and
increase the problem Stop the feeding for a moment and then reinstitute the feeding is
, an unsafe action; the newborn is demonstrating signs of airway obstruction.
Hydrocephalus is a condition where an infant has excess cerebral spinal fluid in their
brain, and is treated by surgically placing a ventriculoperitoneal shunt. Which of the
following nursing interventions should be implemented in care for the first 24 hours
post-operatively?
1
Medicating the infant with pain medication
2
Placing the infant in high Fowler position
3
Placing the infant on their side, in which the shunt has been placed
4
Monitoring the infant for increased intracranial pressure - ANSWER Monitoring the
infant for increased intracranial pressure.
The shunt can fail and become obstructed, leading to the accumulation of cerebrospinal
fluid and resulting in increased intracranial pressure. Although pain medication is a
significant part of postsurgical care for the infant, watchful monitoring for serious
complications such as increased intracranial pressure is the priority. Positioning the
infant flat prevents complications that may arise due to a cerebrospinal fluid reduction
that is too rapid. The infant is positioned off of the shunt to prevent pressure on the valve
and incision area.
What is the focus of the preoperative nursing care for an infant with a cleft lip?
1
Minimising crying
2
Adapting feedings
3
Preventing infection
4
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