What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?
Cover the defect with a dry gauze dressing
Position the newborn supine for initial resuscitation
Cover with a sterile moist saline dressing
Perform frequent skin assessments and apply skin barrier.
The Correct Answer is C
A. Cover the defect with a dry gauze dressing – Incorrect. Dry dressings can adhere to the sac and cause damage.
B. Position the newborn supine for initial resuscitation – Incorrect. The newborn should be positioned prone (on the stomach) to prevent pressure on the sac.
C. Cover with a sterile moist saline dressing – Correct. This keeps the sac moist, prevents drying and cracking, and reduces the risk of infection before surgery.
D. Perform frequent skin assessments and apply skin barrier – Incorrect. While skin assessments are important, applying a barrier is not appropriate for protecting the sac.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
A. Monitoring for tachycardia – Correct. Tachycardia is an early sign of heart failure as the heart attempts to compensate for decreased cardiac output.
B. Observing for diaphoresis during feeding – Correct. Infants with heart failure often exhibit sweating while feeding due to increased effort and oxygen demand.
C. Monitoring for polyuria – Incorrect. Infants with heart failure are more likely to have oliguria due to poor perfusion, not excessive urination.
D. Checking for hyperthermia – Incorrect. Fever is not a primary sign of heart failure unless an infection is present.
E. Assessing for hepatomegaly – Correct. Hepatomegaly occurs due to systemic venous congestion, a hallmark of right-sided heart failure.
F. Evaluating feeding difficulties – Correct. Poor feeding and failure to thrive are common in infants with heart failure due to fatigue and respiratory distress.
Correct Answer is A
Explanation
A. Keep the child away from areas with ongoing construction or renovation. – Correct. Lead-based paint is often found in older buildings undergoing renovation.
B. Allow the child to play with toys that may contain lead paint. – Incorrect. This increases the risk of lead exposure.
C. Encourage the child to play outside in areas with visible peeling paint. – Incorrect. Peeling paint is a major source of lead poisoning.
D. Ensure the child has a diet rich in iron and calcium. – Incorrect. While this can reduce lead absorption, it does not prevent exposure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.