What is the primary purpose of using elbow restraints (NoNo's) in an infant following a cleft lip repair surgery? To:
facilitate proper feeding and swallowing in the infant
promote comfort and relaxation in the infant
prevent the infant from injuring the repair site
encourage the infant to use their arms and hands for exploration
The Correct Answer is C
A. Facilitate proper feeding and swallowing in the infant. – Incorrect. Feeding modifications are needed, but elbow restraints do not assist with swallowing.
B. Promote comfort and relaxation in the infant. – Incorrect. Restraints prevent disruption of the surgical site but do not specifically provide comfort.
C. Prevent the infant from injuring the repair site. – Correct. Elbow restraints prevent the infant from touching or rubbing the surgical site, reducing the risk of wound dehiscence.
D. Encourage the infant to use their arms and hands for exploration. – Incorrect. The purpose of the restraints is to limit arm movement, not promote exploration.
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 D
Explanation
A. Treat bacterial infections – Incorrect. N-acetylcysteine is not an antibiotic.
B. Promote coughing and clear secretions – Incorrect. This describes its use in cystic fibrosis as a mucolytic, not in acetaminophen toxicity.
C. Reduce pain and fever – Incorrect. Acetaminophen, not N-acetylcysteine, is used for pain and fever.
D. Prevent liver damage – Correct. N-acetylcysteine replenishes glutathione stores, which helps detoxify acetaminophen metabolites that cause hepatotoxicity.
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