A nurse is providing discharge teaching to the guardians of an infant who is being discharged after surgical repair of a cleft palate. Which of the following educational topics should the nurse include in the discharge teaching?
Encourage maintaining bilateral elbow restraints.
Apply antibiotic ointment to the suture line for 3 days postoperatively.
Encourage use of straws when drinking fluids.
Avoid disturbing any crusts that form on the suture line.
The Correct Answer is B
A. They prevent the infant from bending their elbows to put their fingers, hands, or toys into their mouth. Protecting the surgical site from accidental trauma is the highest priority during the initial healing phase (usually for about 4 to 6 weeks). Guardians should be taught to remove these one at a time periodically to check skin integrity and provide range-of-motion exercises.
B. Apply antibiotic ointment to the suture line for 3 days postoperatively: Applying antibiotic ointment to the suture line helps prevent infection and promotes healing. It’s essential to follow the postoperative care instructions to ensure the best outcomes for the infant.
C. Encourage use of straws when drinking fluids: Using straws can create negative pressure in the oral cavity, which may put stress on the suture line and compromise wound healing. The suction force generated during straw use can potentially disrupt the surgical site.
D. Avoid disturbing any crusts that form on the suture line: This is generally good advice to promote healing and prevent infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is ["A","B","C","D","F","G"]
Explanation
A. "You should use a mild detergent for your child's laundry.": Correct. Using a mild detergent helps to minimize irritation and sensitivity, especially for children with skin conditions like eczema, which may benefit from pimecrolimus cream.
B. "You can apply gloves to your child's hands.": Correct. Applying gloves can prevent scratching and further irritation to the skin, especially if the child has lesions or eczema on their hands.
C. "You should cut and file your child's fingernails frequently.": Correct. Keeping the child's fingernails short and filed can prevent accidental scratching and trauma to the skin, reducing the risk of exacerbating skin lesions.
D. "You should apply emollients to your child's skin after bathing.": Correct. Emollients help to moisturize the skin and prevent dryness, which can be beneficial for children with skin conditions like eczema. Applying emollients after bathing helps to lock in moisture.
E. "You should apply a thick layer of pimecrolimus cream to your child's lesions.": Incorrect. Pimecrolimus cream should be applied in a thin layer to the affected skin areas, as directed by the healthcare provider. Using a thick layer may not improve efficacy and could increase the risk of side effects.
F. "Your child's condition is contagious when lesions are present.": Correct. It's important for the guardian to understand that certain skin conditions, such as eczema, may not be contagious themselves but can become infected if lesions are present and scratched, leading to bacterial or viral infections.
G. "Your child will experience occasional flare-ups of this condition.": Correct. Skin conditions like eczema often have a chronic and relapsing course, with periods of exacerbation (flare-ups) and remission. Providing this information helps the guardian understand the chronic nature of the condition and the need for ongoing management and monitoring.
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