A nurse is preparing a care plan for an infant with a congenital heart disease who will undergo corrective surgery. What should be the priority nursing intervention postoperatively?
Monitor urine output closely.
Administer prescribed analgesics on schedule.
Encourage deep breathing and coughing exercises.
Elevate the head of the bed to a 30-degree angle.
The Correct Answer is A
A) The answer is A. Monitoring urine output closely is essential postoperatively to assess kidney perfusion and fluid balance, as infants are at risk of fluid shifts after cardiac surgery.
B) Incorrect. While administering prescribed analgesics is important for postoperative pain management, it is not the priority intervention among the options provided.
C) Incorrect. Encouraging deep breathing and coughing exercises is important to prevent respiratory complications, but it is not the priority intervention immediately after cardiac surgery.
D) Incorrect. Elevating the head of the bed can help with respiratory effort, but it is not the priority intervention. Monitoring urine output and fluid balance is more critical in the early postoperative period.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This option is incorrect. Maintaining a sedentary lifestyle during pregnancy is not recommended, as moderate exercise can be beneficial for both maternal and fetal health.
B) This option is incorrect. Prenatal check-ups and ultrasounds are essential for monitoring the health and development of the fetus and identifying any potential issues, including congenital heart diseases.
C) Correct answer. Genetic counseling can help assess the risk of congenital heart diseases based on the family history and provide guidance and recommendations for future pregnancies. This counseling can assist in making informed decisions about prenatal care and potential interventions.
D) This option is incorrect. While a family history of congenital heart diseases may increase the risk, seeking appropriate medical guidance and prenatal care can help manage and address these risks.
Correct Answer is C
Explanation
A) Incorrect. Not all medications can be crushed, and mixing them with the infant's formula may affect their efficacy. Crushing medications should only be done when it is safe and appropriate, as determined by the healthcare provider.
B) Incorrect. Administering medications simultaneously may not be feasible or safe, as some medications require specific intervals between doses. The nurse should follow the prescribed administration schedule to ensure appropriate drug levels in the infant's system.
C) The answer is C. Using a medication organizer can help the nurse and the infant's parents keep track of the complex medication schedule. This helps prevent missed doses and ensures proper administration of each medication.
D) Incorrect. The nurse, along with the healthcare provider, should determine the medication dosing times based on the infant's condition and the prescribed schedule. Leaving the decision solely to the parents may lead to dosing errors or missed doses.
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