A nurse is caring for an infant who has just returned from the PACU following cleft lip and palate repair. Which of the following actions should the nurse take?

Assess the mouth with a tongue blade.

Remove the packing in the mouth.

Place the infant in an upright position.

Offer a pacifier with sucrose.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is ["A","C"]

Explanation

Choice A reason: Using a universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.

Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.

Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.

Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.

A. "Digoxin may decrease your baby's heart rate." B. "If your baby vomits a dose, do not repeat the dose to ensure that the correct amount is received." C. "Give the correct dose of medication at regularly scheduled times." D. "Do not offer your baby fluids after giving the medication."

Correct Answer is C

Explanation

Choice A reason: Digoxin is used to treat heart conditions by slowing the heart rate and increasing its efficiency. It does not increase the heart rate. The normal heart rate for a 12-month-old infant ranges from 80 to 160 beats per minute.

Choice B reason: If an infant vomits after taking digoxin, repeating the dose could lead to toxicity. Instead, caregivers should wait until the next scheduled dose or contact a healthcare provider for guidance.

Choice C reason: Administering digoxin at regular intervals ensures consistent therapeutic levels in the bloodstream, which is crucial for the medication's efficacy and safety.

Choice D reason: Offering fluids after medication does not interfere with digoxin's absorption. However, caregivers should be aware of the signs of digoxin toxicity, which include vomiting, lethargy, and bradycardia.

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A nurse is caring for an infant who has just returned from the PACU following cleft lip and palate repair. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C"]

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Correct Answer is C

Explanation

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