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. Encourage maintaining bilateral elbow restraints: This is not typically used for cleft palate repair. Elbow restraints might be used for other procedures.
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.
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Related Questions
Correct Answer is D
Explanation
A. Provide balloons for play. Balloons are a choking hazard for toddlers and should be avoided.
B. Adjust the water heater temperature to 54° C (129.2° F). The recommended safe water heater temperature is around 49° C (120° F) to prevent burns. 54° C (129.2° F) is too high and poses a burn risk.
C. Place screens on all windows. While screens can prevent insects from entering, they do not provide enough protection to prevent a child from falling out. Window guards or stops are more appropriate for preventing falls.
D. Check clothing for loose buttons. Loose buttons can be a choking hazard for toddlers, so it is important to check and secure them properly to prevent accidental ingestion.
Correct Answer is D
Explanation
A. Inform the client to contact the pharmacy regarding any questions related to the medication. While pharmacists can provide additional information, the nurse should ensure the adolescent understands the medication instructions and has immediate answers to any questions during the teaching session.
B. Provide instructions to the client's parent with the client present. Adolescents may be more comfortable discussing sensitive topics such as STIs privately. The primary teaching should be directed to the adolescent to respect their autonomy and privacy.
C. Instruct the client's parents to write down the information that is being provided. This is not appropriate for an adolescent who is capable of understanding their own medical information. The focus should be on ensuring the adolescent comprehends the information.
D. Ask how the client prefers to learn new information. Correct. Asking the adolescent how they prefer to learn new information helps tailor the education to their learning style, making it more effective and respectful of their preferences.
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