A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

 

Choice A reason: Dizziness is unrelated to paralytic ileus, which involves impaired bowel motility post-surgery, causing distention. Dizziness may indicate hypovolemia or anesthesia effects. Assuming dizziness indicates ileus risks misdiagnosis, delaying interventions like nasogastric suction for ileus, potentially worsening bowel obstruction and client discomfort in postoperative care.

Choice B reason: Watery stool suggests diarrhea, not paralytic ileus, which causes absent bowel sounds and constipation due to motility loss. Misidentifying watery stool as ileus risks overlooking infectious causes, delaying appropriate treatments like antidiarrheals, while neglecting ileus interventions, critical for restoring bowel function post-orthopedic surgery.

Choice C reason: Abdominal distention is a hallmark of paralytic ileus, resulting from postoperative bowel motility cessation, leading to gas and fluid accumulation. Recognizing this guides interventions like bowel rest or decompression, critical for preventing complications like perforation, ensuring timely recovery, and reducing discomfort in clients post-orthopedic surgery.

Choice D reason: Oliguria (low urine output) indicates renal issues, not paralytic ileus, which presents with distention and absent bowel sounds. Assuming oliguria is ileus-related risks missing dehydration or kidney injury, delaying fluid management, while neglecting ileus treatments, critical for addressing postoperative bowel dysfunction and client recovery.

Choice A reason: Attaching a syringe to the inflation hub is a later step after sterile field setup and cleansing. Positioning the drape first maintains sterility. Doing this first risks contaminating the sterile field, increasing infection risk, critical to avoid in ensuring safe catheter insertion for clients.

Choice B reason: Cleansing the meatus follows sterile drape placement to maintain a sterile field. Performing cleansing first risks contamination before the field is set, potentially introducing pathogens, critical to prevent in ensuring infection-free catheter insertion, supporting client safety during urinary catheterization procedures.

Choice C reason: Positioning the sterile drape first establishes a sterile field, critical for preventing infection during catheter insertion. This initial step ensures all subsequent actions, like cleansing and insertion, remain sterile, essential for client safety, reducing urinary tract infection risk, and adhering to aseptic technique in catheterization.

Choice D reason: Lubricating the catheter is a later step after sterile field setup and meatal cleansing. Doing this first risks compromising sterility, potentially contaminating the catheter, critical to avoid in ensuring infection prevention, supporting safe insertion, and minimizing complications in clients undergoing urinary catheterization.