A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair.
Which of the following actions should the nurse take?
Apply bilateral wrist restraints.
Implement a soft diet.
Administer opioids for pain.
Offer fluids through a straw.
The Correct Answer is C
A. Applying bilateral wrist restraints is not a standard intervention after cleft palate repair.
Restraints should be used judiciously and with clear indications to prevent injury.
B. The baby can start feeding normal diet after 24hrs
C. Administering opioids for pain is an appropriate action by the nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN.
D. Offering fluids through a straw is contraindicated after cleft palate repair, as it can disrupt the healing process and increase the risk of complications. Sippy cups or other appropriate utensils should be used.
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Related Questions
Correct Answer is C
Explanation
A. Standard precautions are used for all patients and are not specific to the transmission of mumps.
B. Contact precautions are typically used for conditions with skin-to-skin transmission or if the child has draining lesions. Mumps primarily spreads through respiratory droplets.
C. Mumps is transmitted via respiratory droplets, so droplet precautions, including wearing a mask, are appropriate.
D. Airborne precautions are not necessary for mumps. Airborne precautions are reserved for conditions with smaller particle transmission (e.g., tuberculosis).
Correct Answer is B
Explanation
A. Squamous cell carcinoma is a type of cancer and typically presents as a persistent sore or ulcer, not as a white, milky plaque.
B. Candidiasis, also known as oral thrush, can occur in immunocompromised individuals, especially those on antibiotics, immunosuppressants, and corticosteroids. The white, milky plaque that does not come off with rubbing is characteristic of candidiasis.
C. Herpes simplex can cause painful oral lesions, but it usually presents as vesicles that rupture to form ulcers.
D. Dermatitis refers to inflammation of the skin and is not typically associated with white plaques in the mouth.
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