Author Question: The nurse is providing post-surgical care for an infant who has undergone a hypospadias repair. ... (Read 77 times)

rmenurse · **on:** Jun 27, 2018

The nurse is providing post-surgical care for an infant who has undergone a hypospadias repair. Which action would be most important to help keep the area clean while maintaining proper positioning of the drainage tubing?

A) Ensure the drainage tube is taped in the upright position.
B) Administer antibiotics as ordered.
C) Administer analgesics as prescribed.
D) Use a double diapering technique.

Question 2

The nurse is caring for a 4-year-old with a suspected urinary tract infection. Which approach would be best when attempting to obtain a urine specimen?

A) I will need a urine sample from you.
B) Let your mom help you tinkle in this cup.
C) Would you please tinkle in this cup right now?
D) Please void in this cup instead of the toilet.

Mholman93 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Response:
Double diapering is a method used to protect a child's urethra and stent or catheter after surgery and additionally helps to keep the area clean and free from infection. Ensuring the drainage tube is taped in the upright position and administering antibiotics and analgesics are also important, but double diapering keeps the area clean and helps prevent infection.

Answer to Question 2

B
Response:
The nurse needs to use familiar terms to explain to the child what is needed and to gain cooperation. The most positive approach would be to let the child's mom help rather than demanding that the child tinkle right now. Using the terms urine sample or void is not appropriate for a 4-year-old.