A nurse is caring for an infant following surgical repair of omphalocele. What is the nurse's priority?
Administer pain medication as ordered
Assess the surgical site for signs of infection
Educate the parents about proper wound care
Provide age-appropriate toys for play
The Correct Answer is B
A. Administering pain medication is important, but assessing the surgical site for signs of infection takes priority to prevent complications.
B. Assessing the surgical site for signs of infection is crucial in preventing complications and ensuring proper healing post-surgery.
C. Educating the parents about proper wound care is essential but may not be the priority compared to assessing for signs of infection.
D. Providing age-appropriate toys for play is important for the infant's comfort and development but is not the priority compared to assessing for signs of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increased urine output is not typically indicative of dehydration; rather, decreased urine output may suggest dehydration.
B. Normal skin turgor is not indicative of dehydration; decreased skin turgor is a more reliable indicator.
C. Dry mucous membranes, such as dry mouth or cracked lips, are common signs of dehydration.
D. Bradypnea, or slow breathing, is not typically associated with dehydration; tachypnea may occur in some cases of dehydration.
Correct Answer is A
Explanation
A. Monitoring fluid input and output closely is crucial in managing dehydration, which is a significant risk in viral gastroenteritis.
B. Encouraging a regular diet may not be appropriate during acute illness when the gastrointestinal system is compromised.
C. Antibiotics are not effective against viral infections and are not indicated in viral gastroenteritis.
D. Antiemetic medication may be used to control vomiting, but the priority is ensuring adequate hydration through fluid management.
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