The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?
Prone and in full Trendelenburg
Supine with head slightly elevated
Side-lying with head slightly elevated
Prone with hips flexed and legs abducted
The Correct Answer is D
A. Prone and in full Trendelenburg position is not appropriate as it could increase intracranial pressure and compromise breathing.
B. Supine with head slightly elevated is not suitable because it can put pressure on the myelomeningocele sac.
C. Side-lying with head slightly elevated is also not ideal as it can lead to pressure on the sac.
D. Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A basic metabolic panel is a blood test that measures various substances in the blood, but it is not used to determine the extent of tumor metastasis.
B. A lumbar puncture can be used to detect cancer cells in the cerebrospinal fluid, but it does not provide a full picture of metastasis.
C. A head CT (computed tomography) scan is a valuable imaging test that can help determine the extent of tumor metastasis, particularly to the brain or skull.
D. A biopsy is used to diagnose the type of tumor but is not typically used to determine the extent of metastasis on its own.
Correct Answer is D
Explanation
A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.
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