A nurse is caring for an infant who received a cheiloplasty. Which of the following interprofessional team members should the nurse recommend the parents collaborate with?
Speech pathologist
Facility chaplain
Physical therapist
Orthopedic specialist
The Correct Answer is A
A. Speech pathologist: Infants who undergo cheiloplasty (surgical repair of a cleft lip) may experience difficulties with feeding, swallowing, and later speech development. Collaboration with a speech pathologist ensures the infant receives guidance on feeding techniques and early intervention for speech and language development.
B. Facility chaplain: While a chaplain can provide emotional and spiritual support to the family, they are not directly involved in the infant’s functional outcomes related to cheiloplasty. Their role is supportive rather than interventional for feeding or speech development.
C. Physical therapist: Physical therapy is not typically indicated after cheiloplasty unless there are unrelated musculoskeletal concerns. It does not address the primary needs related to feeding or speech associated with cleft lip repair.
D. Orthopedic specialist: An orthopedic specialist manages musculoskeletal conditions and would not be involved in the care or rehabilitation of an infant following cleft lip repair unless there were unrelated orthopedic issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will report equipment with three-prong electric plugs as a fire hazard.": Three-prong plugs are designed for safety, providing grounding to prevent electrical fires. Reporting them as hazards indicates a misunderstanding of proper electrical safety.
B. "If I see a fire, I should try to remove the client from the room first.": Ensuring client safety is the top priority during a fire. Removing clients from immediate danger follows the first step of the RACE protocol (Rescue, Alarm, Contain, Extinguish), demonstrating correct understanding of fire response.
C. "I should place equipment in front of the emergency exit to prop it open.": Blocking emergency exits is a serious fire safety violation. Exits must remain clear at all times to allow rapid evacuation.
D. "I should sweep the fire extinguisher from side to side before squeezing the handle.": The correct sequence is to pull the pin, aim at the base of the fire, squeeze the handle, and then sweep side to side. Sweeping before squeezing would render the extinguisher ineffective.
Correct Answer is C
Explanation
A. Unstageable: An unstageable pressure injury occurs when the full thickness of tissue loss is obscured by slough or eschar. Since subcutaneous fat and tunneling are visible in this case, the injury can be staged and is not unstageable.
B. Stage 2: Stage 2 pressure injuries involve partial-thickness skin loss with exposed dermis. They do not extend into subcutaneous tissue and do not present with tunneling or visible fat, so this stage does not fit the description.
C. Stage 3:A Stage 3 pressure injury involves full-thickness skin loss. At this stage, subcutaneous fat (adipose tissue) is visible within the ulcer. Features like tunneling (a narrow opening or passageway extending from the wound) and undermining (tissue destruction underneath the intact skin at the wound edge) are common. However, the nurse should not be able to see bone, tendon, or muscle; if these deeper structures were visible, the injury would be classified as Stage 4.
D. Stage 4:A Stage 4 pressure injury involves full-thickness skin and tissue loss. The distinguishing factor for Stage 4 is the direct visualization or palpation of fascia, muscle, tendon, ligament, cartilage, or bone within the ulcer. While tunneling can occur in Stage 4, the presence of only subcutaneous fat keeps this specific injury at Stage 3.
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