A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?

Correct Answer: B

Rationale: In the case of an infant undergoing hypospadias repair, the correct instruction for the parent to follow is to avoid giving the infant a tub bath for 1 week (Option B). This is crucial to prevent infection and ensure proper healing of the surgical site. Immersing the area in water too soon can increase the risk of introducing bacteria and causing complications. Applying a warm compress to the surgical site (Option A) is not recommended as it can disrupt the healing process and potentially introduce infection. Applying antibiotic ointment daily (Option C) without healthcare provider guidance can also lead to complications such as antibiotic resistance and skin irritation. Clamping the infant's catheter for 30 minutes every 4 hours (Option D) is not a standard post-hypospadias repair care practice. Catheter management should be as per healthcare provider instructions to prevent urinary retention and ensure proper drainage. In a pediatric nursing context, providing parents with accurate and clear discharge instructions is essential for the well-being of the child. Understanding and following post-operative care guidelines can significantly impact the infant's recovery and prevent complications, emphasizing the importance of proper education and communication between healthcare providers and parents.

Correct Answer: B

Rationale: The correct answer is to give the medication with orange juice. Orange juice helps increase the absorption of iron from ferrous sulfate. This acidic environment aids in the absorption of iron, making it a suitable choice for administration. Mixing the medication with milk or an antacid may decrease iron absorption, and giving it with meals may not optimize its absorption as effectively as with orange juice.

Correct Answer: B

Rationale: The correct answer is B) Position the infant upright after feedings. This instruction is crucial in managing gastroesophageal reflux in infants. By keeping the infant upright after feedings, gravity helps to keep the stomach contents down and reduces the likelihood of reflux. This position also aids in digestion and decreases the chances of regurgitation and aspiration. Option A) offering feedings every 2 hours can exacerbate reflux by overloading the stomach with too much food, leading to increased reflux episodes. Option C) feeding the infant thickened formula is not recommended as it can increase the risk of aspiration and does not address the underlying issue of reflux. Option D) placing the infant in a prone position after feedings is dangerous as it increases the risk of aspiration and Sudden Infant Death Syndrome (SIDS). In the educational context, it is important for nurses to provide evidence-based instructions to parents on how to manage gastroesophageal reflux in infants. By explaining the rationale behind positioning the infant upright after feedings, nurses empower parents to actively participate in their child's care and promote positive health outcomes.

Correct Answer: B

Rationale: Children with brain tumors commonly experience frequent headaches due to increased intracranial pressure. This pressure can result in pain and discomfort, leading to headaches as a common symptom. Other symptoms may include nausea, vomiting, changes in vision, and behavioral changes, but headaches are a prominent feature in children with brain tumors.

Correct Answer: C

Rationale: The healthcare provider should recommend applying antibiotic ointment to the lesions to prevent the spread of infection and facilitate healing. Antibiotic ointment helps combat the bacterial infection associated with impetigo and supports the skin's recovery process. This approach aids in reducing symptoms, preventing complications, and promoting a quicker resolution of the condition.