What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Allow the child to self-feed with a spoon.

Feed the child pureed or soft foods.

Use a cup with a straw instead of a bottle.

Restrict breastfeeding for the first month.

Answer and Explanation

The Correct Answer is B

Choice B rationale:

After cleft palate repair, infants should be fed pureed or soft foods to prevent trauma to the surgical site and facilitate healing. These textures minimize the risk of injury and avoid strain on the repaired area.

Choice A rationale:

Allowing the child to self-feed with a spoon can introduce solid textures prematurely and pose a risk of disrupting the surgical repair.

Choice C rationale:

Using a cup with a straw might cause suction that could negatively impact the healing surgical site, increasing the risk of complications.

Choice D rationale:

Restricting breastfeeding is not necessary for cleft palate repair. However, positioning adjustments may be needed to facilitate effective breastfeeding while minimizing stress on the surgical area.

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Correct Answer is B

Explanation

Choice A rationale:

Returning to the hospital if the child spits up blood is a correct response as it indicates the recognition of potential postoperative bleeding.

Choice B rationale:

Giving the child cherry gelatin, even though it's the child's favorite, might not be appropriate after a tonsillectomy/adenoidectomy, as certain foods can irritate the healing throat.

Choice C rationale:

Returning to the hospital if the child develops difficulty breathing is a necessary step to address any respiratory distress.

Choice D rationale:

Having the child rinse her mouth frequently with water to prevent a bad breath odor is a suitable suggestion to maintain oral hygiene and comfort after surgery. In all three scenarios, the rationale for the correct answers revolves around patient safety, comfort, and appropriate post-operative care. The incorrect choices in each question either introduce potential complications, misunderstandings, or actions that might compromise the patient's well-being.

A. The parent collects the specimen when the child reports itching. B. The parent collects the specimen in the evening before the child goes to bed. C. The parent collects the specimen after the child has had a bowel movement. D. The parent collects the specimen in the morning when the child awakens.

Correct Answer is D

Explanation

Choice A rationale:

The statement "The parent collects the specimen when the child reports itching”. is incorrect. The scotch tape test for pinworms involves placing clear tape on the perianal area in the morning to collect eggs that may have been laid during the night, not based on itching.

Choice B rationale:

The statement "The parent collects the specimen in the evening before the child goes to bed”. is incorrect. The test is most effective in the morning when the child wakes up, as this is when pinworms are most active and lay their eggs.

Choice C rationale:

The statement "The parent collects the specimen after the child has had a bowel movement”. is incorrect. The test doesn't involve collecting a specimen after a bowel movement but rather in the morning using transparent tape to catch pinworm eggs.

Choice D rationale:

The statement "The parent collects the specimen in the morning when the child awakens”. is correct. This is the correct time for the scotch tape test, as it maximizes the chance of detecting pinworm eggs laid during the night.

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What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to the parent of a patient who had a tonsillectomy/adenoidectomy. Which statement would indicate that the parent needs further teaching?

Correct Answer is B

Explanation

The nurse provides a parent with instructions on how to perform the scotch tape test to collect a specimen for ova and parasites in the perineal region of a child suspected of having pinworms. Which action by the parent indicates the test was done at the correct time?

Correct Answer is D

Explanation

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