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 ["2.2"]
Explanation
Convert the patient's weight from pounds (lb) to kilograms (kg).
Weight in kg = 38 lb / 2.2 lb/kg
= 17.2727 kg.
Calculate the total desired dose in milligrams (mg).
Desired dose (mg) = Desired dose (mg/kg) × Weight (kg)
= 6.25 mg/kg × 17.2727 kg
= 107.954 mg.
Available concentration of the medication = 50 mg/mL.
Calculate the volume in milliliters (mL) to administer.
Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 107.954 mg / 50 mg/mL
= 2.15908 mL.
Round the answer to the nearest tenths place.
= 2.2 mL.
Correct Answer is A
Explanation
A. Darkened, enlarged breast areola: During the first trimester of pregnancy, hormonal changes cause the areolas to darken and enlarge. This is a common and normal finding as the body prepares for breastfeeding.
B. Deeply fissured nipples: Fissured or cracked nipples are not typically observed in the first trimester of pregnancy. This may occur later when the breasts begin to produce milk, especially during breastfeeding.
C. Enlarged axillary lymph nodes: While some mild enlargement of lymph nodes may occur in response to hormonal changes, this is not a typical or significant finding during the first trimester. Any enlarged lymph nodes should be assessed to rule out other conditions.
D. Slack, soft breast tissue: Breast tissue during the first trimester tends to be firm and may feel more tender or swollen due to hormonal changes, rather than slack and soft. This is a normal part of early pregnancy as the body prepares for future lactation.
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