FDP (18)

erectile dysfunction when the child is older. The penile dressing following surgery is usually a compression type to decrease edema and bruising. The easiest way to accomplish this type of dressing is through double diapering. Double diapering also prevents the stool from getting to thepeni s and s urgical s ite cau s ing an infection. The peni s is generall a y b i t r b a . p c o e m d / t t e o s t the abdomen to prevent the catheter or stent from casuing stress on the urethral sutures, not to keep the site cleanor prevent swelling.Gauze is not used over the surgical site. Double diapering provides a compre ss ion dre ss ing and the s oiled diaper s hould be changed w a i t b h i r b e . c v o e m r / y t e s b t o w el movement. #QSN Format:Multiple Choice #CHP 43: Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder Cognitive Level: Apply Client Needs: Physiological Integrity: Basic Care and Comfort Integrated Process: Teaching/Learning REF: Page.1561

#CHP 44 1. The NR is teaching the mother of a 5-year-old boy with a myelomeningocele who has developed a sensitivity to latex. Which response from his mother indicates a need for further teaching? A. "He needs to get a medical alert identification." B. "I will need to discuss this with his caregivers." C. "A product's label indicates whether it is latex-free." D. "He must avoid all contact with latex." Correct answer: C Reason: The Food and Drug Administration (FDA) requires that all medical supplies be labeled if they contain latex, but this is not the case with consumer products. The mother must befamiliar with products that contain latex. The Spina Bifida Association of America maintains an updated li s t of latex-containing product s . G etting a medical alert a i b d i r e b n . c t o i m fi / c t e a s t t ion, talking w ith hi s caregivers, and avoiding all contact with latex are correct. #QSN Format:Multiple Choice #CHP 44: N ur s ing Care of the Child With an A lteration in Mo b a b i l i r i b t . y c o / N m / e t e u s r t omu s cular or Musculoskeletal Disorder Cognitive Level: Analyze Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process: Teaching/Learning REF: Page.1610 2. The NR is providing po s toperative care for a 14-month-old g a i b r i r l b . w c o h m o / t e h s a t s undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the NR she is afraid she will never learn how to care for her daughter at home. Which response by the NR would be most appropriate? A. "I will help you become comfortable in caring for your daugh a te bi r rb . " B. "You must learn how to care for your daughter at home." C. "You will need to learn to collaborate with all the caregivers." D. "There is a lot to learn, and you need a positive attitude."Correct answer: A Reason: The NR need s to empo w er familie s to become the e a x b p i r e b r . c t o s m o / t n e s t t heir child 's need s and conditions via education and participation in care. The most positive approach is to let the mother know the NR will support her and help her become an expert on her daughter's care. Telling the mother that she must learn how to care for her daught a e b r irb o .c r o t m h / a te t st she must have a positive attitude is not helpful. Telling her that she needs to collaborate with the caregivers is true, but does not address her fears. #QSN Format:Multiple Choice