A 9-week-old infant is scheduled for a cleft lip repair. What information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?

Urine specific gravity is 1.011

White blood cell count of 10,000/mm³

Weight gain of 2 pounds (0.91 kg) since birth

Red blood cell count of 2.3 x 10²/L

Answer and Explanation

The Correct Answer is D

Answer is... Choice D. Red blood cell count of 2.3 x 10²/L.

Choice A rationale:

In considering the 9-week-old infant scheduled for a cleft lip repair, it's crucial to evaluate various physiological parameters to ensure optimal surgical outcomes. The urine specific gravity of 1.011 falls within the normal range for infants, typically ranging from 1.001 to 1.020. This parameter primarily reflects the concentration of solutes in the urine and is influenced by hydration status. While deviations from the normal range may indicate certain renal conditions or hydration imbalances, a value of 1.011 alone does not signify a critical concern warranting immediate attention before surgery.

Choice B rationale:

A white blood cell count of 10,000/mm³ suggests a normal leukocyte count within the expected range for infants. The normal range for white blood cell count in infants is approximately 6,000 to 17,000/mm³. This parameter serves as an indicator of the body's immune response and can elevate in response to infection or inflammation. However, in the absence of clinical signs or symptoms suggestive of infection, such as fever or localized inflammation at the surgical site, a white blood cell count of 10,000/mm³ is not indicative of an urgent issue necessitating immediate communication with the surgeon.

Choice C rationale:

Weight gain of 2 pounds (0.91 kg) since birth is a positive indicator of growth and development in the infant. Infants typically exhibit rapid weight gain during the first few months of life, with an average weight gain of approximately 0.5 to 1 ounce per day or 1 to 2 pounds per month. This signifies adequate nutritional intake and physiological growth, which are essential for surgical readiness and postoperative recovery. However, while weight gain is an important parameter to monitor in pediatric patients, it does not directly impact the immediate preoperative considerations for a cleft lip repair.

Choice D rationale:

The red blood cell count of 2.3 x 10²/L is the most critical parameter requiring communication with the surgeon before transporting the infant to the surgical suite. A red blood cell count below the normal range can indicate anemia, which may pose risks during surgery, including impaired oxygen delivery to tissues and compromised hemostasis. Normal red blood cell counts in infants typically range from 3.9 to 5.2 x 10^12/L. Anemia in pediatric patients can result from various etiologies, including nutritional deficiencies, hemolytic disorders, or bone marrow suppression. Communicating a low red blood cell count ensures that the surgical team is aware of this potential risk factor and can take appropriate measures, such as transfusion or adjustments to the surgical plan, to mitigate perioperative complications.

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Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

Step 1 is: Identify the prescribed dose, which is 5 mg.

Step 2 is: Identify the concentration of the medication, which is 5 mg per 5 mL.

Step 3 is: Calculate the volume to administer using the formula: (Prescribed dose ÷ Concentration) × Volume. So, (5 mg ÷ 5 mg/5 mL) = 5 mL. Since 1 teaspoon is approximately 5 mL, the nurse should instruct the parent to give 1 teaspoon with each dose.

A. Place a toy in the child’s hands while listening to the breath sounds. B. Allow the child to use a stethoscope on a stuffed animal. C. Offer the child bubbles before the stethoscope is placed. D. Have the child blow a cotton ball and have the parent catch it.

Correct Answer is B

Explanation

Choice A rationale
While placing a toy in the child’s hands might distract the child during the assessment, it does not actively involve the child in the process or help them understand what is happening.
Choice B rationale
Allowing the child to use a stethoscope on a stuffed animal can help the child understand what is happening and feel more comfortable with the procedure. This technique is often used to ensure the cooperation of a preschooler during an assessment of lung sounds.
Choice C rationale
Offering the child bubbles before the stethoscope is placed might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.
Choice D rationale
Having the child blow a cotton ball and having the parent catch it might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.

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A 9-week-old infant is scheduled for a cleft lip repair. What information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

Correct Answer is ["1"]

Explanation

The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child’s cooperation?

Correct Answer is B

Explanation

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