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 B
Explanation
A. Giving a toddler adult vitamins may lead to excessive intake of certain nutrients and is not recommended without consulting a healthcare provider.
B. Quality of food is crucial for toddlers, as they have small stomachs. Providing nutrient-dense foods ensures that they receive essential vitamins and minerals.
C. The average daily caloric intake for a toddler is considerably less than 3,000 calories. This statement reflects a misunderstanding of a toddler's nutritional needs.
D. Toddlers typically have unpredictable appetites. While they may go through phases of increased appetite, it is not a consistent expectation. The emphasis should be on providing a balanced and nutritious diet.
Correct Answer is D
Explanation
A. Injecting insulin at a 90-degree angle is a common technique for subcutaneous insulin injections.
B. Rotating injection sites is important to prevent lipodystrophy and ensure proper absorption.
C. Insulin should be injected into areas with adipose tissue, such as the abdomen, thighs, or buttocks.
D. Aspiration is not recommended before insulin injections. Aspiration may increase the risk of injecting the insulin into a blood vessel, leading to erratic absorption and potential
hypoglycemia. The current practice is to inject insulin subcutaneously without aspiration.
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