A nurse is assessing an infant who has heart failure. Which of the following findings should the nurse expect? (Select all that apply.)

Choice A reason: Assessing the mouth with a tongue blade is not recommended postoperatively as it can cause discomfort and disrupt the surgical site.

Choice B reason: Removing the packing in the mouth is typically done by a healthcare provider, not immediately postoperatively, to avoid bleeding and protect the repair.

Choice C reason: Placing the infant in an upright position is recommended to facilitate breathing and reduce swelling⁷.

Choice D reason: Offering a pacifier with sucrose is not advisable as it can interfere with the healing of the cleft repair⁷.

Choice A reason: It is important to empty the bladder completely to prevent urine from remaining in the bladder, which can promote bacterial growth. However, this choice is not specific to teaching and is a general practice for anyone.

Choice B reason: Wearing cotton underpants is recommended because cotton is breathable and reduces moisture buildup, which can create an environment conducive to bacterial growth. The normal range for breathability in fabrics is not quantifiable but is a qualitative characteristic.

Choice C reason: Wiping from front to back helps prevent the spread of bacteria from the anal area to the urethra, which can reduce the risk of UTI. This is a key teaching point for preventing UTI recurrence.

Choice D reason: Bubble baths can irritate the urethral opening and are associated with an increased risk of UTIs, especially in children. Avoiding them is a preventive measure that should be included in the teaching.

Choice E reason: Watching for manifestations of infection, such as fever, pain, or changes in urine, is crucial for early detection and treatment of UTIs. Parents should be taught to monitor these signs closely.