A 3-week-old patient is hospitalized for surgical repair of hypertrophic pyloric stenosis. On the third postoperative day, the mother expresses concern that her infant vomited approximately one-fourth of his feeding. Which response by the nurse would be most appropriate at this time?
Plan for nurses to provide the feedings.
Report this finding to the health care provider.
Assure the mother that this is a normal finding.
Tell the mother it is all right to feel anxious.
The Correct Answer is B
Choice A rationale:
Planning for nurses to provide feedings is not necessary since this is not related to the nursing care plan and doesn't address the mother's concern.
Choice B rationale:
Reporting the finding to the health care provider is appropriate because vomiting after surgical repair of hypertrophic pyloric stenosis could indicate a potential complication or issue.
Choice C rationale:
Assuring the mother that vomiting after surgical repair is normal might not be accurate and could dismiss a potentially significant concern.
Choice D rationale:
Telling the mother it is all right to feel anxious doesn't address the vomiting concern directly and might not be the most pertinent response at this time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.
Choice B rationale:
The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.
Choice C rationale:
Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.
Choice D rationale:
Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.
Correct Answer is B
Explanation
"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.
Choice A rationale:
Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.
Choice B rationale:
This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.
Choice C rationale:
The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.
Choice D rationale:
Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.
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