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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine output of 15 mL in the last 2 hr: Urine output is a critical indicator of kidney function. For a toddler weighing 12 kg, an output of less than 1 ml/kg/hr (in this case, 12 mL/hr) is concerning and might suggest dehydration or kidney dysfunction.
B. Pedal and posterior tibial pulses of 2+ are considered normal for pulses in the lower extremities.
C. A skin temperature of 36°C (96.8°F) is slightly on the low side but not a critical finding in isolation.
D. Drainage from the chest tube is expected after open heart surgery. The amount (22 mL in an hour) might need monitoring depending on the specifics of the surgery, but it's not necessarily a red flag on its own.
Correct Answer is ["B","D"]
Explanation
-Water-soluble vitamins: Children with cystic fibrosis often have deficiencies in fat-soluble vitamins (A, D, E, and K) due to malabsorption related to pancreatic insufficiency. Supplementing with water-soluble vitamins is not typically indicated as they are not affected by pancreatic insufficiency.
-Dornase alfa: Dornase alfa is a recombinant human deoxyribonuclease enzyme that helps to thin and break down the thick, tenacious mucus in the airways of patients with cystic fibrosis. It is commonly prescribed to improve respiratory symptoms such as wheezing, rhonchi, and dyspnea.
-Acetaminophen: Acetaminophen may be prescribed for pain or fever relief, but it is not specific to cystic fibrosis management. However, it may be used to alleviate symptoms such as headache or discomfort associated with cystic fibrosis exacerbations.
- Pancreatic Apase: Pancreatic enzymes (e.g., pancreatic lipase, protease, and amylase) are essential for digestion and absorption of nutrients in individuals with cystic fibrosis-associated pancreatic insufficiency. Pancreatic enzyme replacement therapy (PERT) with pancreatic Apase supplements is crucial for improving nutrient absorption and preventing malnutrition.
- Meperidine is an opioid analgesic that is not typically used in the management of cystic fibrosis. While pain management may be necessary for some patients with cystic fibrosis, opioids are generally not recommended due to concerns about respiratory depression and addiction potential.
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