Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?
"My child will likely experience long-term complications, such as difficulty eating.”.
"A few hours after surgery, my child will receive small, frequent feedings of Pedialyte.”.
"My child will most likely have a small incision from the laparoscopic surgery.”.
"I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours.".
The Correct Answer is A
Choice A rationale:
The statement "My child will likely experience long-term complications, such as difficulty eating”. indicates a misunderstanding about the postoperative care following a pyloromyotomy. Pyloromyotomy is a surgical procedure to treat pyloric stenosis, and the goal is to relieve the obstruction causing feeding difficulties. Long-term complications such as difficulty eating are not expected outcomes. The rationale behind this is that pyloromyotomy aims to improve feeding and resolve the obstruction, leading to improved eating habits.
Choice B rationale:
The statement "A few hours after surgery, my child will receive small, frequent feedings of Pedialyte”. is correct. After a pyloromyotomy, it's important to gradually reintroduce feeding. This statement demonstrates the caregiver's understanding of the postoperative feeding plan, which typically involves starting with clear fluids like Pedialyte.
Choice C rationale:
The statement "My child will most likely have a small incision from the laparoscopic surgery”. is incorrect. Pyloromyotomy is usually performed with a small incision, but it is not typically done laparoscopically. Instead, an open surgical approach is more common due to the nature of the procedure. Laparoscopy is not the usual method for this surgery.
Choice D rationale:
The statement "I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours”. is incorrect. After a pyloromyotomy, it's essential to follow a gradual feeding progression under medical guidance. Breastfeeding can be reintroduced gradually as the child tolerates oral feedings, but it's not solely dependent on 24 hours of Pedialyte tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A rationale:
The patient ties his shoelaces. This choice is incorrect as most 3-year-olds lack the fine motor skills required to tie shoelaces independently.
Choice B rationale:
The patient gives his first and last name. This choice is also incorrect, as most 3-year-olds might not have developed language skills to provide their full name accurately.
Choice C rationale:
The patient can tell time. This choice is unrealistic for a 3-year-old, as telling time involves cognitive and conceptual abilities that are not yet developed at this age.
Choice D rationale:
The patient draws a stick figure with six parts. This choice is correct. Around age 3, children usually start drawing simple figures with a head, arms, legs, and possibly facial features, totaling around six parts. This reflects appropriate developmental milestones for a child of this age.
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