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

White blood cell count of 10,000/mm (10x 10/L).

Weight gain of 2 pounds (0.91 kg) since birth.

Red blood cell count of 2.3 cell/mcl or (2.3 x 10/L).

Urine specific gravity is 1.011.

Answer and Explanation

The Correct Answer is C

Answer: C. Red blood cell count of 2.3 cells/mcl or (2.3 x 10/L).

Rationale:

A. White blood cell count of 10,000/mm³ (10 x 10⁹/L): This is within the normal range for an infant, indicating no immediate concern for infection or immune response. It does not need to be urgently conveyed to the surgeon.

B. Weight gain of 2 pounds (0.91 kg) since birth: This is a positive sign indicating healthy growth and nutritional status, but it is not a critical concern that would affect the immediate surgical plan.

C. Red blood cell count of 2.3 cells/mcl or (2.3 x 10⁹/L): This low RBC count indicates anemia, which is critical information for the surgeon. Anemia can increase the risk of complications during and after surgery due to potential issues with oxygenation and healing, making it the most important information to convey.

D. Urine specific gravity is 1.011: This indicates normal hydration status and is not immediately relevant to the surgical procedure. It does not need to be urgently reported to the surgeon compared to the low RBC count.

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Correct Answer is B

Explanation

The nurse should include rice in the list of allowed foods for a child who is newly diagnosed with celiac disease. Rice is a gluten-free grain and is safe for individuals with celiac disease to consume. Rye, oats, and barley all contain gluten and should be avoided by individuals with celiac disease. However, some individuals with celiac disease may be able to tolerate oats that are certified gluten-free and not contaminated with other gluten-containing grains.

A. Suggest placing the iron drops in the orange juice and then feeding the infant. B. Give the mother positive feedback about the way she administered the medication. C. Instruct the mother to feed the infant nothing for 30 minutes after giving the iron drops. D. Tell the mother to follow the iron drops with infant formula instead of orange juice.

Correct Answer is B

Explanation

The nurse should give the mother positive feedback about the way she administered the medication. Giving the infant orange juice after administering the iron drops is a good practice because vitamin C in the orange juice can enhance the absorption of iron. The other options (A, C, and D) are not appropriate actions for the nurse to take in this situation.

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A 9-week-old infant is scheduled for a cleft lip repair. Which 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

The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?

Correct Answer is B

Explanation

The nurse observes a mother giving her 11-month-old ferrous sulfate (iron drops), followed by 2 ounces (60 mL) of orange juice. What should the nurse do next?

Correct Answer is B

Explanation

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