Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now four hours since the child's surgery. Which assessment finding should be reported to the surgeon?

1. The infant has bloody urine.
2. The infant has voided one time since returning from surgery.
3. The infant seems to be having bladder spasms that respond favorably to anticholinergic medications.
4. Double diapering the infant has resulted in the stent being free from stool contamination.


2
Rationale 1: Bloody urine is expected in the immediate postoperative period.
Rationale 2: A 10-month-old will void more often than one time in four hours. This could indicate the stent is occluded. The surgeon should be notified.
Rationale 3: This is a normal finding.
Rationale 4: This is a desired finding and doesn't need to be reported to the surgeon.
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Nursing

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