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 A
Explanation
A. Elevated blood urea nitrogen (BUN) is common in acute glomerulonephritis due to impaired kidney function.
B. Proteinuria is typically present in acute glomerulonephritis due to glomerular damage.
C. Serum potassium levels may be elevated or decreased depending on kidney function and treatment.
D. Serum phosphorus levels may be elevated in acute glomerulonephritis due to impaired kidney function.
Correct Answer is C
Explanation
A. A regular diet with no added salt may exacerbate fluid retention and hypertension in acute glomerulonephritis.
B. Low-protein, low-potassium diet may be indicated in chronic kidney disease but is not typically recommended in acute glomerulonephritis.
C. Low-sodium, fluid-restricted diet helps manage edema and fluid overload commonly seen in acute glomerulonephritis.
D. Low-carbohydrate, low-protein diet is not typically indicated in acute glomerulonephritis.
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