A nurse is caring for a fussy 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Position the infant on its abdomen.

Offer the infant a pacifier.

Encourage the parents to hold and comfort the infant.

Administer Ibuprofen as needed for pain.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Positioning the infant on its abdomen after a cleft lip repair is not recommended. This position can put pressure on the surgical site and may lead to complications such as bleeding or infection.

Choice B rationale

Offering a pacifier to an infant who has just undergone a cleft lip repair is not advisable. The sucking motion can cause strain on the surgical site and may lead to complications such as dehiscence (separation of the wound edges) or infection.

Choice C rationale

Encouraging the parents to hold and comfort the infant is the best course of action. Holding provides comfort and security to the infant, which can help in reducing fussiness. Moreover, parental involvement in the care of the infant promotes bonding and has positive effects on the infant’s emotional and psychological well-being.

Choice D rationale

Administering Ibuprofen as needed for pain is not the best option. While Ibuprofen is a good analgesic, it is not the first choice for pain management in infants due to the risk of side effects. Moreover, pain management should be individualized, considering the infant’s age, weight, overall health status, and the nature and extent of the surgery.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it works by relaxing the muscles around the airways in the lungs. This allows the airways to open up, making it easier for the child to breathe.

Choice C rationale

Albuterol can help reduce wheezing, a common symptom of asthma. Wheezing occurs when the airways are narrowed or blocked, causing a whistling sound when the child breathes. By opening the airways, albuterol can help alleviate this symptom.

Choice D rationale

Albuterol can also decrease coughing and shortness of breath, two other common symptoms of asthma. By improving airflow in the lungs, albuterol can help the child breathe more easily and comfortably.

A. We frequently remind that only bad children have temper tantrums. B. We ignore the tantrum as long as there is no physical danger. C. We send our child to a quiet zone, for 10 minutes after each tantrum. D. We patiently reassure our child until the tantrum ends.

Correct Answer is B

Explanation

Choice A rationale

Frequently reminding a child that only bad children have temper tantrums is not an effective strategy for managing tantrums. This approach can make the child feel bad about themselves and does not help them learn how to manage their emotions. It’s important to remember that tantrums are a normal part of toddler development and are not a sign that a child is bad.

Choice B rationale

Ignoring the tantrum as long as there is no physical danger is a recommended strategy for managing tantrums. By not giving attention to the tantrum, parents can avoid reinforcing the behavior. Once the tantrum is over, parents can give attention and praise to the child for calming down.

Choice C rationale

Sending a child to a quiet zone for 10 minutes after each tantrum can be an effective strategy for some children. However, this approach may not work for all children and is not typically the first strategy recommended by experts. It’s also important to note that the “quiet zone” should not be used as a punishment, but rather a place for the child to calm down.

Choice D rationale

Patiently reassuring a child until the tantrum ends is not typically recommended. This approach can actually prolong the tantrum by giving the child attention for the behavior. It’s generally more effective to ignore the tantrum and then give attention and praise once the child has calmed down.

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A nurse is caring for a fussy 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

The nurse is providing parents with suggestions about the appropriate actions to take when their toddler is having a temper tantrum.Which statement by the parents indicates an understanding?

Correct Answer is B

Explanation

Which child requires urgent care?

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