The nurse is assigned to a child who had surgery for repair of ...

[Engineer]

The nurse is assigned to a child who had surgery for repair of hypospadias and the child has a bladder stent. Upon assessment, the nurse finds that the child is suffering bladder spasms.
 
  Which of the following medications ordered by the surgeon alleviates bladder spasm? a. oxybutynin chloride (Ditropan) c. guanadrel sulfate (Hylorel)
  b. dezocine (Dalgan) d. propranolol (Inderal)

Question 2

An infant had been diagnosed with otitis media twice in the last 4 months. The parents inquire about ways to prevent the recurrence. The nurse responds with which of the following interventions:
 
  a. The nurse asks if the parents smoke; and if so, advises them to stop
  b. The nurse instructs them to encourage excessive pacifier use
  c. The nurse advises the mother to stop breastfeeding
  d. The nurse instructs the parents to clean ears regularly with a cotton swab

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Answer to Question 1

A

Feedback
A Correct. Anticholinergics such as oxybutynin chloride (Ditropan) may be administered to alleviate bladder spasms while the urethral stent is in place.
B Incorrect. Dezocine (Dalgan) is not indicated to alleviate bladder spasms while the urethral stent is in place.
C Incorrect. Guanadrel sulfate (Hylorel) is not indicated to alleviate bladder spasms while the urethral stent is in place.
D Incorrect. Propranolol (Inderal) is not indicated to alleviate bladder spasms while the urethral stent is in place.

Answer to Question 2

A
Secondhand smoke increases the incidence of ear infections. Excessive pacifier use can also increase the occurrence. The nurse should not encourage the parent to stop breastfeeding. Breastfeeding reduces the risk. Parents should never clean the baby's ears with a cotton swab.

[Engineer]

TYSM

[Animal_Goddess]

Excellent