A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?

A. Advising the mother that overuse of albuterol may cause chronic bronchitis is not accurate. Chronic bronchitis is a long-term condition primarily related to smoking or other irritants and is not typically associated with the appropriate use of albuterol as a bronchodilator.

B. Assuring the mother that she is using the medication correctly is not the best response, as it does not address the need for asthma management and education on the proper use of medications and when to seek medical attention.

C. Recommending that the mother bring the child in for immediate evaluation is not necessary if the child's asthma symptoms are being effectively managed with albuterol. However, the child should have an asthma action plan and regular follow-up with a healthcare provider for asthma management.

D Confirm that the medication helps to reduce airway inflammation.

Albuterol is a beta-adrenergic agonist bronchodilator commonly used in the treatment of asthma. It helps to open the airways by relaxing the smooth muscles in the bronchi, making it easier for the child to breathe during an asthma attack. Albuterol does not treat airway inflammation, but it is used to provide quick relief from bronchoconstriction.

The primary role of albuterol is to provide quick relief from acute bronchoconstriction during an asthma attack. It is not a medication for reducing airway inflammation, but it can be used in conjunction with other asthma medications that address inflammation, as prescribed by a healthcare provider. The nurse should educate the mother on the appropriate use of albuterol and the importance of asthma management under the guidance of a healthcare provider.

A. Administering pain medication based on the FACES pain scale is not the most relevant intervention in the preoperative period for a Wilms' tumor. Pain management may be addressed postoperatively, as needed.

B. Including the prone position in the every 2-hour turning schedule may not be the most appropriate intervention, as it may not be suitable for an infant with a Wilms' tumor, considering the location and potential size of the tumor.

C. Careful bathing and handling that avoids abdominal manipulation.

Wilms' tumor, also known as nephroblastoma, is a pediatric kidney cancer. Prior to surgery, it's crucial to handle the infant with care and avoid any abdominal manipulation to prevent any further complications or disruption to the tumor. This involves gentle handling and avoiding activities that may put pressure on the tumor or cause discomfort to the infant.

D. Giving antiemetic medications to prevent nausea and vomiting is a potential intervention, but it may be more relevant in the postoperative period, and its necessity would depend on the infant's individual condition and the surgical plan.

The priority during the preoperative period for an infant with a Wilms' tumor is to handle the infant carefully and avoid any actions that could exacerbate the condition or cause discomfort. The specific surgical plan and other preoperative preparations would be determined by the healthcare provider.