What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

Observe for skin irritation.

Keep cast uncovered to allow drying.

Assess color of toes.

Check toes for capillary refill.

Keep casted leg lowered.

Answer and Explanation

Correct Answer : A,B,C,D

The correct answer is A, B, C, and D. After a clubfoot repair surgery, the plan of care should include observing for skin irritation, keeping the cast uncovered to allow drying, assessing the color of toes, and checking toes for capillary refill. Keeping the casted leg lowered is not recommended as it can lead to swelling.

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Correct Answer is C

Explanation

Choice A rationale

While facial paralysis is a serious condition, it is not typically associated with a cleft palate.

Choice B rationale

Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.

Choice C rationale

Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.

Choice D rationale

Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.

A. Remove elbow restraints while the infant is sleeping. B. Keep the infant in a side-lying position. C. Feed the infant half-strength formula for the first 48 hr. D. Administer pain medication PRN for the first 48 hr. .

Correct Answer is D

Explanation

Choice A rationale

Removing elbow restraints while the infant is sleeping is not a recommended intervention following cleft palate repair. Elbow restraints are used to prevent the infant from touching the surgical site and potentially causing injury or infection. Therefore, they should not be removed while the infant is sleeping.

Choice B rationale

Keeping the infant in a side-lying position is not a specific recommended intervention following cleft palate repair. The position of the infant following surgery will depend on various factors, including the infant’s comfort and the surgeon’s instructions.

Choice C rationale

Feeding the infant half-strength formula for the first 48 hours is not a specific recommended intervention following cleft palate repair. The infant’s feeding regimen following surgery will depend on various factors, including the infant’s age, weight, and overall health, as well as the surgeon’s instructions.

Choice D rationale

Administering pain medication PRN (as needed) for the first 48 hours is a recommended intervention following cleft palate repair. Pain management is an important part of postoperative care, and appropriate pain medication can help ensure the infant’s comfort and promote healing.

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What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating parents of a child with a cleft palate.What should the nurse instruct the parents to report immediately?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair.Which of the following interventions should the nurse contribute to the client’s plan of care?

Correct Answer is D

Explanation

What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? Select all that apply.

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