An infant with bladder exstrophy has undergone a successful surgical repair and is due for discharge. The nurse is providing the infant's parents with discharge education on the long-term effect of the condition on the infant's body.Which of the following management aspects the nurse should emphasize?
Answer(s): C
Bladder Exstrophy and Surgical Repair:Bladder exstrophy is a congenital condition where the bladder develops outside the body. Surgical repair is performed to place the bladder back inside the abdomen and reconstruct the pelvic area.Long-term Management:High-fiber diet and physical activities: While maintaining a healthy diet and physical activity is important, they are not the primary focus in this condition. Tub baths: Discouraging tub baths post-surgery might be a temporary measure to prevent infection but not a long-term management focus.Fertility Counseling: Bladder exstrophy can impact the reproductive system and future fertility.Providing counseling regarding fertility status is crucial for the parents to understand potential long- term effects and prepare for any necessary interventions or treatments in the future.
National Institutes of Health (NIH)American Urological Association (AUA)
A nurse is monitoring a patient with Cushing syndrome who suffers from recurrent fractures and bruising.Which of the following is the BEST action the nurse would do?
Answer(s): B
Cushing Syndrome Symptoms:Cushing syndrome is characterized by high levels of cortisol which can lead to brittle bones (osteoporosis), easy bruising, and muscle weakness.Best Nursing Actions:Review Calcium Level: Important but not the immediate priority to prevent fractures. Orthopedic Clinic Visit: Necessary for follow-up but not the immediate action. High Protein Diet: Important for muscle strength but secondary to immediate safety. Protective Environment: Preventing falls and injuries is the best immediate action to avoid further fractures and bruising. Ensuring the patient's environment is safe and free from hazards is essential.
Mayo Clinic guidelines on Cushing SyndromeAmerican Association of Clinical Endocrinologists (AACE)
A nurse is preparing a care plan for a patient with kidney failure on maintaining optimal sleep and comfort level.Which of the following sleep disorders require priority intervention?
Sleep Disorders in Kidney Failure:Patients with kidney failure often experience various sleep disturbances due to factors like uremic toxins, restless legs syndrome, and sleep apnea.Priority Intervention:Somnolence and Parasomnia: These are conditions where patients may feel drowsy or experience abnormal behaviors during sleep, but they are not as immediately concerning. Hypersomnia: Excessive sleepiness can significantly impact daily functioning and quality of life, making it a priority for intervention.Somnambulism: Sleepwalking can pose safety risks but is less common and usually less impactful than hypersomnia in kidney failure patients.
National Kidney Foundation (NKF)American Academy of Sleep Medicine (AASM)
At the end of the year, the head nurse decided to motivate the nurses for their teamwork. Which of the following would be the MOST appropriate action?
Answer(s): D
Motivating Nurses and Teamwork:Recognizing and appreciating the efforts of nurses is crucial for maintaining morale and encouraging teamwork.Best Approach:Email Appreciation and Memo: These are impersonal and might not effectively motivate the team. Morning Shift Report Discussion: Useful for daily updates but less formal and might miss some members.Ward Meeting Acknowledgment: Publicly recognizing individual contributions in a ward meeting is more personal and impactful. It allows team members to feel valued and appreciated in front of their peers, boosting morale and motivation.
Journal of Nursing Management on Team MotivationAmerican Nurses Association (ANA) on Nurse Recognition and Rewards
While caring for a patient with leg ulcers, the nurse expects the patient to receive which of the following medical managements?
Leg Ulcers Management:Leg ulcers, especially chronic ones, require specific treatments to promote healing and prevent infection.Medical Management Options:Anticoagulant therapy: Typically used for conditions like deep vein thrombosis, not directly for leg ulcers.Decompression therapy and Positive pressure therapy: Not standard treatments for leg ulcers. Hyperbaric Oxygenation: This treatment involves breathing pure oxygen in a pressurized environment. It increases oxygen delivery to tissues, promotes healing, reduces inflammation, and fights infection, making it an effective treatment for chronic leg ulcers.
Wound Healing Society guidelines on leg ulcer treatment National Institutes of Health (NIH) on Hyperbaric Oxygen Therapy
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