The mother of a baby boy with hypospadias asks the nurse about ...

[cabate]

The mother of a baby boy with hypospadias asks the nurse about why her newborn son should not be circumcised like her other son. The nurse recognizes that this procedure should not occur because: (Select all that apply.)
 
  1. The urethral meatus is located in the midpenile area, not the head.
   2. The circumcision could damage the urethral meatus.
   3. A circumcision is a chosen procedure, and the child is put at more risk when having it done.
   4. Surgical repair needs to occur prior to the circumcision.
   5. The child may be chastised by his peers later in life.

Question 2

Hemolytic uremic syndrome can lead to the need for: (Select all that apply.)
 
  1. Peritoneal dialysis.
   2. Hemodialysis.
   3. Blood transfusions.
   4. Antiepileptic medications.
   5. Antihypertensive medications.

[dajones82]

Answer to Question 1

1, 2
Feedback
1. The location of the urethral meatus has a risk of laceration during a circumcision, thus creating damage to the urethral opening.
2. The damage to the urethral meatus will cause intense bleeding and require significant repair.
3. The circumcision is not an option for this child because of the further damage that could occur to the urethral meatus.
4. A circumcision should not be done after the repair because of the risk for further damage.
Many males are not circumcised, and this should be discussed with the mother.

Answer to Question 2

2, 3, 4, 5
Feedback
1. This type of dialysis is more invasive than what the patient will need to treat this disease.
2. Hemodialysis will be needed to filter out waste products for the patient.
3. A blood transfusion may be needed because the patient is at risk for anemia.
4. The patient is at risk for seizures, so preventative measures may be needed.
5. Close monitoring of blood pressure is required because of the vascular changes which occur with the disease.

[cabate]

Excellent

[milbourne11]

TYSM