A nurse is planning care for an adolescent following repair of Meckel Diverticulum.Which of the following actions should the nurse include in the plan of care?
Administer total parenteral nutrition
Initiate long term antibiotic therapy
Maintain an Ng tube for decompression
Teach the client about ostomy care
The Correct Answer is C
Choice A rationale
Administering total parenteral nutrition is not typically necessary following repair of Meckel’s Diverticulum. The patient is usually able to resume normal eating habits after surgery.
Choice B rationale
Long-term antibiotic therapy is not typically required following repair of Meckel’s Diverticulum. Antibiotics may be used in the short term to prevent infection, but long-term use is not usually necessary.
Choice C rationale
Maintaining an NG tube for decompression is a common part of care following abdominal surgery, including repair of Meckel’s Diverticulum. This helps to relieve pressure and allow the intestines to rest and heal.
Choice D rationale
Teaching the client about ostomy care is not typically necessary following repair of Meckel’s Diverticulum, as an ostomy is not usually required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
For a lumbar puncture, the child should be placed in the lateral position. This position allows for better access to the spinal canal, which is necessary for a lumbar puncture.
Correct Answer is D
Explanation
Choice A rationale
Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice B rationale
Neck vein distension is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice C rationale
Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice D rationale
Hyperpyrexia, or extremely high fever, can be a symptom of severe acute acetylsalicylic acid poisoning.
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