A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the include.
Place cooling blanket on the toddler.
Administer IV dantrolene sodium to the toddler.
encourage the toddler to use an incentive spirometer.
Administer aspirin to the toddler as needed for pain.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale: A cooling blanket is typically used to manage hyperthermia in conditions like malignant hyperthermia, not routine postoperative recovery. It might cause the toddler to become too cold, leading to hypothermia or discomfort.
Choice B rationale: IV dantrolene sodium is administered for malignant hyperthermia, a rare but serious reaction to certain anesthesia medications. It is not appropriate for routine surgical recovery unless such a reaction is suspected or diagnosed.
Choice C rationale: Using an incentive spirometer encourages deep breathing, helping to prevent postoperative respiratory complications like atelectasis and pneumonia. It is an effective tool to promote lung expansion and improve oxygenation in the recovering toddler.
Choice D rationale: Administering aspirin to a toddler is not recommended due to the risk of Reye's syndrome, a serious condition causing swelling in the liver and brain. Alternative pain management strategies should be utilized for pediatric patients.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Have the child flex his head when securing the ties.
Explanation:
When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.
Why the other options are incorrect:
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A. Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
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B. Clean around the stoma with full-strength hydrogen peroxide – Incorrect. Diluted hydrogen peroxide or saline is recommended to avoid tissue irritation. Full-strength hydrogen peroxide can damage delicate skin around the stoma.
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C. Place the child in Trendelenburg position when performing care – Incorrect. The Trendelenburg position (head down, feet up) is not used for tracheostomy care and can increase the risk of aspiration or breathing difficulties.
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.
Choice B rationale
Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.
Choice C rationale
Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.
Choice D rationale
Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.
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