The nurse is caring for an infant immediately after pyloromyotomy surgery has been performed to treat pyloric stenosis. The infant’s parents are understandably anxious about their child. Given the situation, what is the most appropriate way for the nurse to position the infant during the anesthesia recovery period?
Place the infant on the back.
Support the infant and place them on their side.
Lay the infant on their stomach.
Allow the parents to hold their infant.
The Correct Answer is B
Choice A reason: Placing the infant on the back post-pyloromyotomy risks aspiration during anesthesia recovery, as vomiting is common with pyloric stenosis. Side-lying positioning ensures airway protection, making this unsafe and incorrect for managing the infant’s recovery period effectively after this surgical procedure.
Choice B reason: Positioning the infant on their side with support prevents aspiration and maintains airway patency post-pyloromyotomy, addressing vomiting risks from pyloric stenosis. This aligns with postoperative pediatric nursing standards, making it the most appropriate position during anesthesia recovery for the infant.
Choice C reason: Laying the infant on the stomach is unsafe post-surgery, increasing aspiration and pressure on the surgical site. Side-lying positioning protects the airway and incision, making this incorrect for the infant’s recovery period following pyloromyotomy for pyloric stenosis in the hospital setting.
Choice D reason: Allowing parents to hold the infant may comfort but risks disrupting surgical recovery or airway management during anesthesia effects. Side-lying positioning ensures safety, making this less controlled and incorrect for the immediate postoperative period in this surgical context for the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A sedative 1.5-2 hours pre-surgery reduces anxiety, and an analgesic-atropine mixture just before leaving minimizes pain and secretions. This timing aligns with pediatric preoperative protocols, making it the correct anticipation for administering medications to prepare the child for surgery effectively.
Choice B reason: Giving medications the night before surgery is too early for preoperative effects like sedation or secretion control. The correct timing is closer to surgery, making this incorrect, as it does not align with standard preoperative medication administration for a child undergoing surgery.
Choice C reason: A sedative 3-4 hours before surgery is too early, reducing effectiveness, and the analgesic-atropine timing is suboptimal. The 1.5-2-hour sedative window is standard, making this incorrect compared to the precise timing needed for preoperative medications in pediatric surgical care.
Choice D reason: Sending medications to the operating room delays administration, risking inadequate preoperative sedation or secretion control. Administering at specific pre-surgery intervals is standard, making this incorrect compared to the timed delivery of sedative and analgesic-atropine for the child’s surgical preparation.
Correct Answer is D
Explanation
Choice A reason: Playing together without organization is associative play, more typical of preschoolers, not toddlers, who engage in parallel play. Side-by-side independent play is toddler-specific, making this incorrect, as it misidentifies the developmental play stage of toddlers in the in-service training session.
Choice B reason: Organized group play is cooperative play, seen in older children, not toddlers, who lack the social skills for it. Parallel play side by side is typical, making this incorrect, as it does not reflect the independent nature of toddler play in the nurses’ training.
Choice C reason: Playing apart without group involvement is solitary play, less common in social settings for toddlers, who prefer parallel play. Side-by-side play is more characteristic, making this incorrect compared to the typical toddler behavior of independent play in proximity during the session.
Choice D reason: Toddlers engage in parallel play, playing independently side by side without interaction, a hallmark of their developmental stage. Nurses choosing this example show understanding, aligning with pediatric play theories, making it the correct choice for a successful in-service training on toddler play.
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