A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Apply lotion to the skin beneath the straps twice daily.

Position the diaper over the straps with each change.

Lengthen the harness straps weekly.

Massage the skin under the straps daily.

Answer and Explanation

The Correct Answer is B

A.   Lotions, powders, or ointments should be avoided under the harness as they can irritate the skin.
B.   This helps protect the skin and keeps the harness clean.
C.   Only a healthcare provider should adjust the harness straps. Parents should not attempt to do this.
D.   Massage can irritate the skin and should be avoided.

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Correct Answer is C

Explanation

A. Increasing oral fluid intake would not necessarily improve dialysate outflow. This could worsen the issue if the problem is related to fluid overload.
B. Increasing dwell time might allow more time for fluid and waste removal, but it's not the most appropriate action in this case. The primary concern is the lack of outflow, which suggests a potential obstruction or other issue.
C. Changing the child's position can help to reposition the catheter and improve drainage. This is a reasonable action to try.
D. A bruit indicates increased blood flow to the area. While it's important to assess for this, it's not the most immediate action to take.

A. Administer RBCs using non-filtered IV tubing. B. Infuse each unit of blood within 4 hr. C. Infuse dextrose 5% in water during the infusion of packed RBCs. D. Store the second unit of blood at room temperature for up to 2 hr.

Correct Answer is B

Explanation

A. Blood products should always be administered through a filtered IV tubing to remove any potential contaminants.
B. Blood products should typically be infused within 4 hours to reduce the risk of bacterial contamination.

C. Dextrose 5% in water can cause hemolysis of red blood cells. Packed RBCs should be infused with normal saline (0.9% sodium chloride).
D. Blood products should be stored at a specific temperature, typically refrigerated, to maintain their viability. Bringing them to room temperature for an extended period can compromise their quality.

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A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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