A nurse is caring for an infant post operative closure of a myelomeningocele. Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?

Avoiding any oral feedings for the first 24 hours to prevent aspiration

Applying direct pressure to the surgical site if bleeding occurs.

Frequent diaper changes and keeping the incision site clean and dry

Allowing the infant to lie flat on their back to promote spinal alignment

Answer and Explanation

The Correct Answer is C

A.   Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B.   Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C.   Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D.   The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B. This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C. While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D. This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

A. Administering a bolus (250 ml) of Normal saline intravenous fluid B. Administering oxygen C. Administering pain medication D. Administering antipyretics

Correct Answer is C

Explanation

A. While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B. Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C. Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D. Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for an infant post operative closure of a myelomeningocele. Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

Correct Answer is A

Explanation

The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Correct Answer is C

Explanation

A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

A nurse is providing teaching to a parent of a preschooler client who has eczema. Which of the following Instructions should the nurse include In the teaching?

A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

A nurse Identifies that a school age child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents is correct from the Instructions provided by the nurse?

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent Indicates a need for further teaching?

A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?