A nurse is assisting with the care of a newborn who has a myelomeningocele. The nurse should ensure that which of the following supplies is available at the bedside?
Latex gloves
Soft restraints
Sterile saline
Rectal thermometer
The Correct Answer is C
A. Latex gloves: Latex gloves should be avoided, especially in newborns, due to the risk of allergic reactions. Non-latex gloves are the preferred option for any care involving newborns.
B. Soft restraints: Soft restraints are not necessary for the care of a newborn with a myelomeningocele unless there is a specific concern for the infant’s safety. Restraints should not be routinely used unless deemed absolutely necessary.
C. Sterile saline: Sterile saline is essential for cleaning and maintaining the integrity of the myelomeningocele sac. The sac should be kept moist with sterile saline to prevent it from drying out or becoming infected. This is a critical to have at the bedside for proper care.
D. Rectal thermometer: A rectal thermometer should be avoided in infants with a myelomeningocele, especially if the sac involves the lower spinal cord, as it can potentially cause injury to the delicate tissue or result in a risk of infection.
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Related Questions
Correct Answer is D
Explanation
A. Position the child sitting with their buttocks at the edge of the table: This position is not appropriate for bone marrow aspiration. It does not provide adequate access to the iliac crest, which is the common site for bone marrow collection in children.
B. Position the child side-lying to expose the vertebrae: The vertebrae are not typically used for bone marrow aspiration. The iliac crest (the top of the hip bone) is the preferred site, and side-lying does not expose this area appropriately for the procedure.
C. Place the child supine with legs flexed outward into a frog-like position: This position is commonly used for procedures such as abdominal or pelvic examinations but does not provide the best access for bone marrow aspiration from the iliac crest.
D. Place the child in prone position to expose the posterior iliac crest: The prone position with the back exposed allows the posterior iliac crest to be properly accessed for bone marrow aspiration. This is the correct position for the procedure in children.
Correct Answer is C
Explanation
A. Short stature: Short stature is not a common adverse effect of budesonide when used as an inhaler. However, long-term use of inhaled corticosteroids in children may have a small effect on growth, but it is not a primary concern with budesonide.
B. Weight loss: Weight loss is not associated with the use of an inhaled corticosteroid like budesonide. Weight gain or fluid retention may be more common with systemic steroids, but this is less of a concern with inhaled forms.
C. Oral candidiasis: Oral candidiasis (thrush) is a known side effect of inhaled corticosteroids, including budesonide. This occurs due to the medication's impact on the oral mucosa, which can promote fungal growth. To reduce the risk, the child should rinse their mouth after using the inhaler.
D. Peptic ulcer: Peptic ulcers are more commonly associated with systemic corticosteroids, not with inhaled corticosteroids like budesonide. Although systemic absorption can occur, the risk for ulcers is significantly lower with inhaled forms compared to oral or injected steroids.
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