A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?

Offer a pacifier with sucrose for pain relief.

Maintain elbow restraints in the postoperative period.

Place infant in trendelenburg position in the immediate postoperative period.

Provide an ice collar for pain.

Answer and Explanation

The Correct Answer is B

A. Offering a pacifier is contraindicated after cleft lip and palate repair as it can disrupt the surgical site and interfere with healing.

B. Maintaining elbow restraints prevents the infant from touching or putting objects in their mouth, which could disrupt the surgical site and compromise healing.

C. The Trendelenburg position is not recommended as it can increase pressure on the surgical site and compromise breathing.

D. An ice collar may be used for pain relief in older children or adults but is not typically used in infants, and it may not be feasible in this population.

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Correct Answer is A

Explanation

A. If NSAIDs (nonsteroidal anti-inflammatory drugs) are ineffective in managing symptoms of JIA, the healthcare provider needs to be notified as other treatments, such as disease-modifying antirheumatic drugs (DMARDs) or biologics, may be necessary.

B. Warm compresses, rather than cool compresses, are typically recommended to relieve joint pain and stiffness in JIA.

C. While rest is important, excessive napping can lead to stiffness and decreased mobility. Regular, gentle activity is encouraged to maintain joint function.

D. High-impact exercises like running may be too strenuous for children with JIA and can exacerbate joint pain. Low-impact activities such as swimming or cycling are generally recommended to promote range of motion without putting undue stress on the joints.

A. "We will increase our child's fiber intake." B. "We will teach our child to wipe from front to back." C. "My child may need a follow-up to a specialist due to recurrent infections." D. "No additional testing is required after the course of antibiotics are complete."

Correct Answer is D

Explanation

A. Increasing fiber intake is beneficial for overall digestive health and can prevent constipation, which may help in reducing the risk of UTIs.

B. Wiping from front to back is crucial in preventing the spread of bacteria from the anal area to the urinary tract, reducing the risk of recurrent UTIs.

C. Follow-up with a specialist may be necessary if the child has recurrent UTIs, to rule out underlying issues such as vesicoureteral reflux.

D. No additional testing after antibiotics might be needed for a simple UTI, but in cases of recurrent UTIs, further testing is often required to ensure the infection has resolved and to investigate any underlying causes.

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A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?

Nursing Test Bank

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A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?