During a physical assessment of a hospitalized 5-year-old, the ...

[fahad]

During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis.
 
  What action should the nurse implement?
  a.
  Forcibly push the foreskin down over the head of the penis.
  b.
  Place a warm compress on the penis.
  c.
  Notify the charge nurse.
  d.
  Wait a few hours and try again.

Question 2

When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
 
  a. No intervention is necessary as the defect will correct itself over time.
  b. Surgical repair of the hypospadias is done before 18 months of age.
  c. Corrective surgery is usually delayed until the preschool age.
  d. Repairing the defect will increase the risk of testicular cancer.

[KKcool]

Answer to Question 1

ANS: C
Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the penis; this should be remedied immediately.

Answer to Question 2

ANS: B
Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.

[fahad]

Thanks for the timely response, appreciate it

[smrtceo]

Gracias!