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.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.
B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.
C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.
D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.
Correct Answer is B
Explanation
Rationale:
A) The parent of the adolescent parent may not have legal authority over the infant's medical decisions.
B) An emancipated adolescent parent typically has the legal authority to provide consent for their child's medical procedures.
C) The infant's provider cannot provide consent on behalf of the adolescent parent.
D) The adult sibling of the adolescent parent does not have legal authority unless designated as a legal guardian.
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