A nursing student is assigned to care for a child following surgery to correct cryptorchidism
The nursing instructor reviews the plan of care developed by the student and determines that the stu-dent is adequately prepared to care for the child if the student identifies which priority in the plan of care following this type of surgery? 1. Prevent tension on the suture.
2. Force oral fluids, and monitor I&O.
3. Monitor urine for glucose and acetone.
4. Encourage coughing and deep breathing every hour.
1
Rationale: When a child returns from surgery, the testicle is held in position by an internal suture that passes through the testes and scrotum and is attached to the thigh. It is important not to dislodge this suture, and it should be immobilized for 1 week. The most common complications are bleeding and infection. Depending on the type of anesthesia used, "encourage coughing and deep breathing every hour" may be appropriate, but it is not the priority. Although it is important to maintain adequate hydration, it is inappropriate and unnecessary to force fluids. Testing urine for glucose and acetone also is not related to surgery.
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