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    Pn comprehensive predictor 2023 proctored exam

    A nurse is reinforcing teaching about circumcision care with the parent of an infant who just underwent a Plastibell circumcision. Which of the following statements by the parent indicates an understanding of the teaching?

    Explanation & Rationale

    A) "I will make sure that my baby's diaper is applied snugly": A snug diaper could potentially cause irritation or pressure on the circumcision site, increasing the risk of complications such as discomfort or delayed healing. Diapers should be fitted appropriately but not excessively tight around the area to avoid friction on the circumcised site. B) "I will wipe away yellow crusts that form around the incision": Yellow crusts are a normal part of the healing process following a Plastibell circumcision, and they should not be wiped away. These crusts form as part of the natural healing process, and removing them prematurely can disrupt the healing tissue or cause unnecessary bleeding or infection. C) "I will apply antibiotic ointment to my baby's penis": Antibiotic ointment is generally not recommended for use after a Plastibell circumcision, as it can interfere with the healing process. The Plastibell procedure typically heals with just proper care and the use of a clean diaper. Applying ointments can cause excess moisture that might lead to infection. D) "I will apply pressure with gauze if I see bleeding": This is the correct response. If bleeding occurs after a Plastibell circumcision, the appropriate action is to apply gentle pressure with sterile gauze to control the bleeding. Excessive bleeding or uncontrolled bleeding after the procedure may require medical attention, but applying pressure is the first step in addressing this issue.

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