A nurse is assisting with the care of an infant who is postoperative following surgical repair of a cleft lip and palate. Which of the following action should the nurse plan to take?
Gently rub betadine on the infant's incisions to prevent infection.
Place the infant in a prone position for 1 hr to facilitate drainage of secretions.
Weigh the infant once each day using the same scale.
Suction the infant's nose and mouth using an in-line device on the lowest setting.
The Correct Answer is C
Rationale:
A) Rubbing betadine on the infant's incisions is not typically done after surgical repair of a cleft lip and palate, as it can cause irritation and delay wound healing.
B) Placing the infant in a prone position for an extended period is not recommended after cleft lip and palate repair surgery, as it may increase the risk of airway obstruction and compromise wound healing.
C) Weighing the infant daily using the same scale helps monitor for changes in fluid status and overall health status following surgery.
D) Suctioning the infant's nose and mouth may be necessary to maintain airway patency, but it should be done judiciously to avoid trauma to the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) It is recommended to use fresh or frozen fruits and vegetables rather than canned due to concerns about added sugars and sodium.
B) Introducing one new food every 5 to 7 days helps identify potential allergies or intolerances and allows the infant's digestive system to adjust to new foods.
C) The amount of solid food introduced initially is typically smaller, usually starting with a teaspoon or so, gradually increasing as the infant gets accustomed to eating solids.
D) Adding rice cereal to a bottle is not recommended as it can increase the risk of choking and does not promote self-feeding skills.
Correct Answer is B
Explanation
Rationale:
A) This indicates a misunderstanding or lack of awareness regarding postoperative mobility expectations.
B) Beginning range-of-motion exercises on the first postoperative day indicates an understanding of the importance of early mobilization for recovery.
C) This may or may not be accurate depending on the individual's recovery progress, but it does not specifically demonstrate understanding of the teaching.
D) This indicates awareness of postoperative care but does not specifically address the immediate postoperative period.
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