The mother of a newborn male infant with hypospadias asks the nurse why circumcision cannot be performed. The most appropriate response by the nurse is which of the following?
1. "Circumcision will cause an infection."
2. "Circumcision is not performed in a newborn."
3. "Circumcision will cause difficulty with urination."
4. "Circumcision has been delayed to save tissue for surgical repair."
4
Rationale: The infant should not be circumcised because the dorsal foreskin tissue will be used for surgical repair of the hypospadias. This defect will most likely be corrected during the first year of life to limit the psychological effects on the child. "Circumcision will cause an infec-tion." "Circumcision is not performed in a newborn." and "Circumcision will cause difficulty with urination." are inaccurate statements.
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When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurse's next action would be to:
a. Immediately notify the physician. b. Consider this finding normal in children and young adults. c. Check the child's blood pressure, and note any variation with respiration. d. Document that this child has bradycardia, and continue with the assessment.
A newly promoted nurse manager is fearful that previous coworkers will undermine her efforts to succeed in this new position
The new manager does not share information with these coworkers even though they may need the information to understand changes that are going to occur in the organization. Which emotional intelligence self-management competency is this nurse most clearly violating? 1. Adaptability 2. Initiative 3. Transparency 4. Optimism
The nurse is assessing a client's self-concept because it helps in determining whether a client will engage in health promotion behaviors. Self-concept is a(n):
a. individual's perception of physical self. b. shaper of behavior. c. individual's belief about her ability to perform a behavior. d. individual's perception of self.
A patient with a potassium level of 2.8 mEq/L is given 60 mEq over a 12-hour period, and a repeat potassium level is obtained after the bolus. The current potassium level is 2.9 mEq/L. Which of the following should now be considered?
a. Stopping the patient's Aldactone b. Drawing a serum magnesium level c. Rechecking the potassium level d. Monitoring the patient's urinary output