Which should be included in discharge instructions for care of a ...

[JGIBBSON]

Which should be included in discharge instructions for care of a child after an orchiopexy?
 
  1. Information to the parents about the child resuming normal vigorous activities
  2. Discussion with the parents about the low incidence of testicular malignancy and no further need for any follow-up
  3. Explanation to the parents about the need for loose and nonrestrictive clothing
  4. Reassurance to the parents that infertility is not a future risk

Question 2

A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today her hus-band brings a large container of brown seaweed soup to the hospital.
 
  When the nurse en-ters the room, the husband asks for help with warming the soup so that his wife can eat it. The nurse's most appropriate response is: a. Didn't you like your lunch?
  b. Does your doctor know that you are planning to eat that?
  c. What is that anyway?
  d. I'll warm the soup in the microwave for you.

[jamesnevil303]

Answer to Question 1

3
Rationale:
1. Vigorous activities such as straddling toys, riding bicycles, or rough play should be avoided for up to 2 weeks following surgery, to promote healing and prevent injury.
2. The risk of testicular cancer is 3550 times greater in men with a history of cryptorchidism. Long-term planning includes teaching the child to perform monthly testicular examinations once puberty has been reached.
3. Orchiopexy is the surgical correction for cryptorchidism (failure of the testes to descend into the scrotal sac). Discharge instructions should include the information about the need for loose and nonrestrictive clothing to avoid pressure to the postop site.
4. A discussion of fertility and the possible need for fertility testing is important, since cryptorchidism increases the risk of infertility.

Answer to Question 2

D

Feedback
A Cultural dietary preferences must be respected.
B Women may request that family members bring favorite or culturally appropriate foods to the hospital.
C Cultural dietary preferences must be respected. A statement such as this does not show cultural sensitivity.
D This statement shows cultural sensitivity to the dietary preferences of the woman and is the most appropriate response.