A nurse is caring for an infant who received a cheiloplasty. Which of the following interprofessional team members should the nurse recommend the parents collaborate with?
Speech pathologist
Facility chaplain
Physical therapist
Orthopedic specialist
The Correct Answer is A
A. Speech pathologist: Infants who undergo cheiloplasty (surgical repair of a cleft lip) may experience difficulties with feeding, swallowing, and later speech development. Collaboration with a speech pathologist ensures the infant receives guidance on feeding techniques and early intervention for speech and language development.
B. Facility chaplain: While a chaplain can provide emotional and spiritual support to the family, they are not directly involved in the infant’s functional outcomes related to cheiloplasty. Their role is supportive rather than interventional for feeding or speech development.
C. Physical therapist: Physical therapy is not typically indicated after cheiloplasty unless there are unrelated musculoskeletal concerns. It does not address the primary needs related to feeding or speech associated with cleft lip repair.
D. Orthopedic specialist: An orthopedic specialist manages musculoskeletal conditions and would not be involved in the care or rehabilitation of an infant following cleft lip repair unless there were unrelated orthopedic issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. Prepare for chest tube placement: Chest tube placement is indicated for conditions like pneumothorax or pleural effusion, which are not clearly present in this scenario. Immediate interventions should focus on stabilizing the client and evaluating cardiopulmonary status first.
B. Ensure that the client has venous access: Establishing IV access is essential for rapid administration of medications, fluids, or emergency interventions if the client’s condition deteriorates. This is a priority in acute postoperative complications.
C. Place the client in High Fowler's position: Elevating the head of the bed improves lung expansion, reduces dyspnea, and enhances oxygenation in a client experiencing sudden respiratory distress and crackles, which may indicate pulmonary edema or fluid overload.
D. Activate the rapid response team: The client exhibits acute respiratory distress, hypoxemia, tachypnea, and cardiovascular changes. Activating the rapid response team ensures timely advanced intervention and evaluation to prevent further deterioration.
E. Administer fondaparinux as prescribed: Postoperative clients following total hip arthroplasty are at high risk for venous thromboembolism. Administering anticoagulant therapy, such as fondaparinux, helps prevent pulmonary embolism, which could be causing the client’s sudden dyspnea.
F. Administer midazolam as prescribed: Midazolam is a sedative and would not address the client’s acute respiratory distress. Sedation could worsen hypoxemia and respiratory compromise in this scenario.
Correct Answer is D
Explanation
A. A cervical cap is recommended for clients who have an abnormal Papanicolaou (Pap) test: A cervical cap is not recommended for clients with abnormal Pap results because it may irritate the cervix or complicate follow-up care. Clients should wait until any cervical abnormalities are resolved before using this method.
B. Hormonal contraceptive methods decrease the client's risk for hypertension: Hormonal contraceptives, particularly those containing estrogen, can actually increase the risk of hypertension and thromboembolic events in some clients, rather than reduce it. Blood pressure monitoring is recommended during use.
C. Fertility awareness-based methods are more effective than hormonal methods: Fertility awareness methods generally have higher failure rates compared to hormonal contraceptives. Hormonal methods provide more reliable pregnancy prevention when used correctly.
D. Barrier methods can be used by clients who are breastfeeding: Barrier methods, such as condoms, diaphragms, and cervical caps, are safe for breastfeeding clients because they do not affect milk production or hormone levels. They provide effective contraception without interfering with lactation.
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