A new graduate nurse is caring for an infant with myelomeningocele before surgical intervention. Which action will demonstrate the need for further education by their preceptor?
Keeping the mass uncovered and dry.
Preventing cold stress using an isolette or radiant warmer
Placing the infant in prone/semi-sidelying position and repositioning every 2 hrs.
Encouraging parents to touch and interact with their infant
The Correct Answer is A
A. The myelomeningocele should be kept moist and covered with a sterile, non-adherent dressing to protect the exposed tissue. Leaving it uncovered could increase the risk of infection.
B. Preventing cold stress is essential to maintain the infant's body temperature and reduce stress on the body.
C. Positioning the infant prone helps avoid pressure on the sac and prevents injury.
D. Encouraging parental interaction is beneficial for bonding and emotional support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A neurovascular assessment is priority to ensure circulation is adequate in the affected limb, preventing complications like compartment syndrome.
B. Ice application can help reduce swelling but is secondary to ensuring circulation.
C. Providing reassurance is supportive but not as critical as physical assessment.
D. Discharge instructions are important but can follow the neurovascular assessment.
Correct Answer is ["A","B","C","F"]
Explanation
A. Development of skin tags is a common manifestation due to hormonal changes associated with acromegaly.
B. A softening voice can occur due to enlargement of the vocal cords and surrounding tissues.
C. Weakness in voluntary muscles may result from hormonal effects on muscle tissue over time.
D. Involution typically refers to the reduction in size or activity of an organ or tissue, which is not characteristic of acromegaly.
E. Altered vital signs may occur, but are not specific or unique clinical manifestations of acromegaly.
F. Soft tissue swelling is a prominent feature due to excess growth hormone leading to tissue enlargement.
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