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
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.
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Correct Answer is B
Explanation
A. Jock itch is a fungal infection of the groin, not the feet.
B. Tinea pedis is the medical term for athlete's foot, a fungal infection of the feet.
C. Ringworm is a fungal infection that can affect various parts of the body, not specifically the feet.
D. Poison sumac is a plant-based skin irritation caused by contact with the plant, not a fungal infection.
Correct Answer is A
Explanation
A. Rhabdomyosarcoma is a soft tissue cancer that most commonly affects the head and neck, especially in children.
B. Rhabdomyosarcoma is not a bone tumor; it is a soft tissue tumor. The most common bone tumor in children is osteosarcoma.
C. Rhabdomyosarcoma is a malignant tumor, not benign, and it is one of the most common childhood cancers.
D. Rhabdomyosarcoma is not generally considered a hereditary tumor. Most cases are sporadic with no known genetic predisposition.
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