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8 year old with bladder exstrophy. What are the top two priority problems (priority nursing concepts) for this child and/or family? (List the problem/concept, explain the pathophysiology of the problem and how it relates to the concept, and include the signs and symptoms and how they relate to the pathophysiology.)



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clerisek321

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The top two priority nursing concepts for an 8-year-old with bladder exstrophy are:

1. **Risk for infection**: Bladder exstrophy is a congenital condition where the bladder is exposed outside the body. This increases the risk of urinary tract infections (UTIs) due to the direct exposure of the bladder to external contaminants. Signs and symptoms of UTIs include frequent urination, pain or burning with urination, foul-smelling urine, abdominal pain, and fever. It is crucial to monitor for signs of infection and implement strict aseptic techniques to prevent UTIs.

2. **Impaired skin integrity**: The exposed bladder in bladder exstrophy can lead to skin breakdown and impaired skin integrity. The constant exposure to urine and feces can cause irritation, inflammation, and potential infection of the surrounding skin. Signs of impaired skin integrity include redness, irritation, breakdown, and possible infection. It is essential to protect the exposed bladder with appropriate dressings, keep the area clean and dry, and monitor for any signs of skin breakdown to prevent complications.

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