A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?
Allow the infant to have soft foods.
Maintain elbow restraints on the infant.
Instruct the parents to feed the infant with a spoon.
Tell the parents to avoid brushing the infant's teeth for two weeks.
The Correct Answer is B
A) Allowing the infant to have soft foods is not recommended immediately following surgery to protect the surgical site.
B) Maintaining elbow restraints prevents the infant from touching or injuring the repair site, which is crucial for proper healing.
C) Feeding the infant with a spoon could disrupt the surgical site and is not advised until cleared by a healthcare provider.
D) While oral hygiene is important, brushing the infant's teeth could harm the repair site; however, specific post-operative care instructions regarding oral hygiene should be provided by the healthcare provider, which may or may not include a temporary cessation of brushing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Disposing of insulin needles in a puncture-proof container is a safe practice to prevent accidental needle sticks and transmission of infections.
B. Opened insulin vials should be stored at room temperature, not in the refrigerator, to prevent insulin from crystallizing or becoming too cold for injection.
C. Shaking the insulin vial before drawing it into the syringe can cause air bubbles to form, leading to inaccurate dosing.
D. Regular insulin should appear clear, not cloudy. Cloudiness may indicate contamination or degradation of the insulin, and the client should not use it.
Correct Answer is D
Explanation
A. Incorrect. Pinching the infant's nares can cause distress and may not effectively prevent aspiration.
B. Incorrect. Administering the whole dose at once increases the risk of the infant choking or aspirating the medication.
C. Incorrect. Holding the infant in a side-lying position may not effectively prevent aspiration and may increase the risk of choking.
D. Correct. Administering the medication using a needleless syringe in the buccal cavity allows for slow and controlled administration, reducing the risk of aspiration. This method also minimizes the chance of the infant gagging or spitting out the medication.
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