Nursing Skill-Circumcision Care PDF

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Summary

Nursing Skill-Circumcision Care...

Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

STUDENT NAME _____________________________________

Care 24 SKILL NAMECircumcision ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________

Description of Skill Circumcision is the surgical removal of the foreskin of the penis exposing the end of the penis. Usually performed within the first few days of life.

Indications -Patient must be a boy. -Parents will be able to choose whether or not they would like the baby to go through the procedure.

Outcomes/Evaluation -Forskin of the penis will be removed and the glans of the penis will be exposed. -Patient will have an easier time with hygiene. -Decreased risk of STI's -Decreased risk of penile cancer and cervical cancer in female partners.

Potential Complications -Hemorrhage -Infection -Imflammation or stenosis of the urinary meatus -Urethral fistula -Adhesions or dehiscience of the skin -Concealed penis

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) -Assess the newborn for family history of bleeding tendencies, Hypospadias, Ambiguous genitalia, and potential illness or infection. -Obtain informed consent from parents -Gather and prepare supplies -Administer medication as prescribed -Assist with procedure.

Client Education -Newborn cannot be bottle fed for 2 to 3 hours after procedure to prevent vomiting/aspiration. -Keep area clean, change diaper every 4 hr. -Avoid wrapping penis tight in gauze -Do not give tub bath until healed, trickle warm water over penis for cleaning. -Notify provider if signs of redness, swelling, discharge, odor, tenderness, decreased urination. -A yellowish film of mucus may form, do not remove. -Avoid premoistened towelettes, they contain alcohol. -Should heal completely within a couple weeks.

Nursing Interventions -Remove newbborn from restraining board and provide comfort. -Monitor for bleeding and voiding. -Apply gauze for bleeding or oozing. -Fan-fold diapers to prevent pressure on circumcised area -Admiister Liquid acetaminophen post procedure -Provide discharge instructions to parents....