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    Hesi lpn exit proctored examQuestion 127
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    Hesi lpn exit proctored exam

    The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

    Explanation & Rationale

    A. Whatever the parents decide, the staff will be available to support the decision: While emotional support is important, this response does not address the parents’ lack of understanding regarding the medical implications of delaying surgery. B. Ask the parents to explain what they understand about the child's diagnosis: Encouraging the parents to share their understanding helps the nurse assess knowledge gaps and misconceptions about hypospadias. This approach promotes effective teaching, allowing the nurse to clarify that hypospadias does not correct itself and that surgical repair is required. C. Some children do outgrow this type of problem and waiting may be beneficial: Hypospadias does not resolve spontaneously. Delaying corrective surgery may lead to complications with urination, sexual function, and psychological distress later in life. D. The child's prognosis will not develop complications if surgery is delayed: Postponing surgery can result in abnormal urinary stream direction, difficulty with future catheterization, and possible body image concerns, so timely correction is important.

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