A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. On which rationale should the nurse base a reply?
a. The yellow crust should not be removed.
b. This yellow crust is an early sign of infection.
c. Discontinue the use of petroleum jelly to the tip of the penis.
d. After circumcision, the diaper should be changed frequently and fastened snugly.
ANS: A
Crust is a normal part of healing. The normal yellowish exudate that forms over the site should be differentiated from the purulent drainage of infection. The only contraindication for petroleum jelly is the use of a PlastiBell. The diaper should be fastened loosely to prevent rubbing or pressure on the incision site.
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