A nurse is caring for an infant who is postoperative following repair of a cleft palate. Which of the following is an appropriate action by the nurse?
Gently cleanse the surgical site with sterile gauze.
Place the infant in a supine position.
Apply elbow immobilizers to both arms.
Offer a pacifier with glucose syrup.
The Correct Answer is C
A. Cleansing the surgical site is not typically recommended as it can interfere with healing and cause trauma to the area. The surgical site should be kept clean and dry according to the surgeon's instructions.
B. Placing the infant in a supine position is not recommended as it can increase the risk of aspiration and disrupt the surgical site. Positioning should be done to protect the surgical repair.
C. Applying elbow immobilizers to both arms prevents the infant from touching or putting their hands in their mouth, which helps to protect the surgical site from injury and allows it to heal properly.
D. Offering a pacifier with glucose syrup is not appropriate as sucking on a pacifier can disrupt the surgical site and glucose syrup is not necessary in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[163.4270782470703,203.4270782470703],\"yRanges\":[122.35760498046875,162.35760498046875]}"
Explanation
The recommended placement for a small pediatric pulse oximeter probe is around the great toe, the outer palm or the foot. This placement is non-invasive and should not cause discomfort to the child. The nurse should the apply a snuggly fitting sock to hod the sensor in place.
Correct Answer is A
Explanation
A. Giving small amounts of oral rehydration solution frequently helps to prevent dehydration without overwhelming the child's stomach. This method is effective in rehydrating the child gradually and is well tolerated.
B. Fruit juices, especially those high in sugar, can worsen diarrhea and dehydration. They are not recommended for rehydration in cases of gastrointestinal infections.
C. While bananas and rice are part of the BRAT diet and can be included in meals, they do not address the immediate need for rehydration as effectively as oral rehydration solutions.
D. Promethazine is an antiemetic that is not typically indicated for mild dehydration and can have sedative side effects. Oral rehydration is the priority in managing mild dehydration.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.