On the second day after a surgical repair for a cleft lip, which of the following would be most important?
Preventing the infant from vomiting
Keeping the infant in a prone position
Preventing crust formation on the suture line
Protecting the infant's tongue from swelling
The Correct Answer is C
A. Preventing the infant from vomiting: While preventing vomiting is important to avoid putting pressure on the surgical site, it is not the most immediate concern after a cleft lip repair. Postoperative care focuses on protecting the surgical site and preventing trauma to the lip.
B. Keeping the infant in a prone position: The infant should be kept in a position that avoids pressure on the surgical site. In most cases, the infant is kept in a supine or side-lying position to prevent direct pressure on the repair site and promote healing.
C. Preventing crust formation on the suture line: Preventing crust formation is crucial to prevent infection, scarring, or trauma to the surgical repair site and to achieve a good cosmetic outcome. Crusts on the suture line can disrupt healing and should be avoided by gentle cleaning and application of prescribed ointments.
D. Protecting the infant's tongue from swelling: While protecting the infant's tongue is important in general, it is not the primary concern after cleft lip repair. The focus should be on protecting the lip repair site, as this is where the surgical intervention took place.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4.1"]
Explanation
Convert the client's weight from pounds (lb) to kilograms (kg).
Weight in kg = 48.6 lb / 2.2 lb/kg
= 22.09 kg.
Calculate the total daily desired dose in milligrams (mg).
Total daily desired dose (mg) = Desired dose (mg/kg/day) × Weight (kg)
= 30 mg/kg/day × 22.09 kg
= 662.7 mg/day.
Determine the number of doses per day.
Doses are administered every six hours, so Number of doses per day = 24 hours / 6 hours/dose
= 4 doses/day.
Calculate the dose per administration in milligrams (mg).
Dose per administration (mg) = Total daily desired dose (mg) / Number of doses per day
= 662.7 mg / 4 doses
= 165.675 mg.
Convert the available concentration from grams (g) to milligrams (mg).
Available concentration = 0.2 g/5 mL
1 g = 1000 mg
Available concentration in mg/mL = (0.2 g × 1000 mg/g) / 5 mL
= 200 mg / 5 mL
= 40 mg/mL.
Calculate the volume in milliliters (mL) to administer per dose.
Volume (mL) = Desired dose per administration (mg) / Available concentration (mg/mL)
= 165.675 mg / 40 mg/mL
= 4.141875 mL.
Round the answer to the nearest tenths place.
= 4.1mL
Correct Answer is B
Explanation
A. On the stomach with a pillow under her breasts: Sleeping on the stomach is not recommended during pregnancy as it becomes increasingly uncomfortable and impractical as pregnancy advances due to the growing uterus.
B. On the side with the weight of the uterus on the bed: This is the recommended position for pregnant women, especially in the second and third trimesters. Sleeping on the left side is particularly beneficial as it improves blood circulation, reduces pressure on the vena, and promotes better blood flow to the placenta and fetus.
C. On the back with a pillow under the knees and hips: Sleeping on the back is generally not recommended after the first trimester because the weight of the uterus can compress the major blood vessels, such as the inferior vena cava, reducing blood flow to the fetus.
D. On the back with a pillow under the head: While this position may be comfortable, sleeping on the back during pregnancy can lead to reduced blood flow to the fetus, especially in the later stages of pregnancy, and is generally not recommended. The side position is preferred.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.