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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Side-lying position during sleep may exacerbate gastroesophageal reflux in infants.
B. Keeping the baby in an upright position after feedings can help prevent reflux by allowing gravity to keep stomach contents down.
C. Breastfeeding is generally preferred for infants with gastroesophageal reflux because breast milk is more easily digested.
D. Thickening formula with oatmeal may be recommended in some cases but is not the primary intervention for managing gastroesophageal reflux.

A. Inspection B. Auscultation C. Superficial palpation D. Deep palpation

Correct Answer is A,B,C,D

Explanation

A. Inspection: The nurse begins with a visual examination of the abdomen, looking for any abnormalities in skin color, shape, or movement.
B. Auscultation: Next, the nurse listens to the bowel sounds using a stethoscope. This step is performed before palpation to avoid altering the bowel sounds.

C. Superficial palpation: The nurse gently presses the surface of the abdomen to assess for any tenderness, distension, or masses.
D. Deep palpation: Finally, the nurse applies deeper pressure to feel for any deeper abnormalities in the abdominal organs.

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A nurse is caring for an infant following surgical repair of omphalocele. What is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (placing them in the selected order of performance. Use all the steps.)

Correct Answer is A,B,C,D

Explanation

A nurse is reviewing the laboratory results of an adolescent who has acute glomerulonephritis. Which of the following should the nurse expect?

A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?

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A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?