The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Your child may want to be close to you most of the time for a while.

It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home.

You may find that your child is much more independent than before hospitalization.

Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.

Choice B rationale:

Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.

Choice C rationale:

Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.

Choice D rationale:

While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.

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Correct Answer is C

Explanation

Choice A rationale:

Monitoring the cast daily for foul odors is a proper action to identify potential infection.

Choice B rationale:

Bringing the child for frequent checkups to the clinic is important to ensure the cast is healing properly.

Choice C rationale:

Using the cast stabilizing bar to turn the child can be concerning. There's no mention of a cast stabilizing bar, so this statement suggests a lack of understanding or misinformation.

Choice D rationale:

Massaging the skin around the edges of the child's cast can help prevent skin irritation, so it's an appropriate action.

A. Increased respirations. B. Widened pulse pressure. C. Prolonged capillary refill. D. Decreased blood pressure.

Correct Answer is B

Explanation

Choice A rationale:

Increased respirations are not a specific symptom of increased intracranial pressure (ICP). They might occur due to other respiratory or metabolic issues.

Choice B rationale:

Widened pulse pressure (the difference between systolic and diastolic blood pressure) is a sign of increased ICP. It results from increased systolic pressure due to the body's attempt to compensate for the rising pressure within the skull.

Choice C rationale:

Prolonged capillary refill is indicative of decreased peripheral perfusion or shock, which can be caused by various factors but is not directly related to ICP.

Choice D rationale:

Decreased blood pressure is not a consistent symptom of increased ICP. In fact, widened pulse pressure is more characteristic.

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The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

Correct Answer is C

Explanation

A patient is intubated and placed on a mechanical ventilator. Which symptom indicates increased intracranial pressure?

Correct Answer is B

Explanation

After a cleft lip repair, a child is receiving formula feedings through a syringe. The child's parent is participating in care. Which of these actions by the parent indicates a need for further instructions about feeding the child? The caregiver:.

A 14-year-old patient is brought unconscious to the emergency room. It is suspected that the patient has deliberately taken an overdose of acetaminophen with 1/2 pint of vodka. The healthcare provider prescribes several interventions. Which intervention should the nurse question?

A 5-year-old child is being admitted to the hospital for surgery. Which intervention would be appropriate to help prepare this child for hospitalization?

A 5-year-old client is admitted for a tonsillectomy with adenoidectomy. What is the most important question for a nurse to ask while preparing the client for surgery?

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