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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tugging or pulling at the ear is a common sign in children with otitis media and may indicate ear pain.
B. Pain when manipulating the affected earlobe is expected in otitis media due to inflammation and infection of the middle ear.
C. Erythema and edema of the affected ear are typical findings in otitis media, indicating inflammation.
D. Clear drainage is not a typical finding in otitis media. Drainage, if present, is more likely to be purulent or serosanguinous.
Correct Answer is D
Explanation
A. Sleep apnea is different from SIDS; SIDS is a sudden, unexplained death during sleep in otherwise healthy infants.
B. SIDS rates have actually been decreasing due to public health campaigns promoting safe sleep practices.
C. There is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines.
SIDS is a multifactorial event, and vaccines have not been shown to cause it.
D. Placing infants on their back to sleep is a key recommendation for reducing the risk of SIDS, as per safe sleep guidelines endorsed by healthcare organizations.
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