A nurse is assisting with the care of an infant who has myelomeningocele.
Which of the following actions should the nurse take?
Apply a sterile, moist dressing on the sac.
Monitor the infant's temperature rectally.
Encourage the guardian to cuddle with the infant.
Maintain the infant in a supine position.
The Correct Answer is A
Choice A rationale
Applying a sterile, moist dressing on the sac helps prevent infection and keeps the tissue moist, promoting healing.
Choice B rationale
Monitoring the infant's temperature rectally can increase the risk of infection and is not recommended.
Choice C rationale
Encouraging the guardian to cuddle with the infant is important for bonding but doesn't directly address the care of myelomeningocele.
Choice D rationale
Maintaining the infant in a supine position can put pressure on the sac, increasing the risk of rupture and infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The lap belt fitting snugly over the child's abdomen increases the risk of abdominal injury during a crash.
Choice B rationale
The lap belt fitting low across the child's hips distributes force over stronger bony structures, reducing injury risk.
Choice C rationale
Placing a child in the front seat with a shoulder-only automatic belt does not provide proper restraint and increases injury risk.
Choice D rationale
The shoulder strap crossing just below the child's chin indicates improper fit, posing a risk to the neck in a crash.
Correct Answer is C
Explanation
Choice A rationale
Social interaction is essential for development and can enhance emotional and psychological well-being. Isolation can negatively affect the child.
Choice B rationale
Restricting physical activity is counterproductive. Physical activity should be encouraged within safe limits to promote strength and coordination.
Choice C rationale
Encouraging independence and self-care skills helps the child develop autonomy and confidence, essential for managing daily activities and improving quality of life.
Choice D rationale
Promoting a sedentary lifestyle is detrimental to health. Physical activity and engagement in activities enhance physical and mental well-being.
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