A nurse is caring for an infant following surgical repair of omphalocele. What is the nurse's priority?
Administer pain medication as ordered
Assess the surgical site for signs of infection
Educate the parents about proper wound care
Provide age-appropriate toys for play
The Correct Answer is B
A. Administering pain medication is important, but assessing the surgical site for signs of infection takes priority to prevent complications.
B. Assessing the surgical site for signs of infection is crucial in preventing complications and ensuring proper healing post-surgery.
C. Educating the parents about proper wound care is essential but may not be the priority compared to assessing for signs of infection.
D. Providing age-appropriate toys for play is important for the infant's comfort and development but is not the priority compared to assessing for signs of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While genetic factors can contribute to various kidney disorders, they are not specifically linked to acute glomerulonephritis.
B. Acute glomerulonephritis often follows a recent streptococcal infection, particularly strep throat or impetigo.
C. High blood pressure may result from acute glomerulonephritis but is not typically considered a risk factor.
D. Excessive fluid consumption is not a known risk factor for acute glomerulonephritis.
Correct Answer is C
Explanation
A. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
B. Distended neck veins are not typically seen in pyloric stenosis.
C. Projectile vomiting, especially after feeding, is a classic sign of pyloric stenosis.
D. A ridged abdomen is not a typical finding in pyloric stenosis.
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