Question

the nurse is caring for an infant with a diagnosis of bladder exstrophy. to protect the exposed bladder tissue, the nurse would plan which intervention?
answer options
1 cover the bladder with petroleum jelly gauze.
2 cover the bladder with a nonadhering plastic wrap.
3 apply sterile distilled water dressings over the bladder mucosa.
4 keep the bladder tissue dry by covering it with dry sterile gauze.

Explanation:

For an infant with bladder exstrophy (exposed bladder tissue), the goal is to protect the tissue and prevent drying or trauma. Nonadhering plastic wrap is used to cover the exposed bladder to keep it moist and prevent damage. Petroleum jelly gauze may stick, sterile water dressings can cause maceration, and dry gauze would dry the tissue.

Answer:

1. Cover the bladder with a nonadhering plastic wrap.