A nurse is caring for an oldest patient.

Exhibits

For each potential provider’s prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Choice A reason:

The statement “This stage is when testing occurs to identify boundaries of interpersonal behaviors” describes the storming stage of group development. During the storming stage, group members test boundaries and challenge each other, leading to conflicts and disagreements.

Choice B reason:

The norming stage is characterized by the development of group cohesion and consensus. During this stage, group members start to resolve their differences, appreciate each other’s strengths, and work together more effectively. Consensus evolves as the group establishes norms and agrees on common goals.

Choice C reason:

While constructive efforts are part of the norming stage, the statement is too vague to indicate a clear understanding of this specific stage. Constructive efforts can occur in various stages of group development, including performing.

Choice D reason:

Resistance and the formation of subgroups are typical of the storming stage, not the norming stage. In the storming stage, conflicts and power struggles are common as group members assert their opinions and roles.

Choice A: Apply Bilateral Wrist Restraints

Applying bilateral wrist restraints can be necessary in some cases to prevent the child from touching or interfering with the surgical site. However, restraints should be used as a last resort and only when absolutely necessary. They can cause distress and discomfort to the child and should be monitored closely to prevent any complications.

Choice B: Administer Opioids for Pain

Administering opioids for pain management is a common practice post-surgery to ensure the child is comfortable. However, opioids should be used cautiously due to the risk of side effects and potential for dependency. Non-opioid pain management strategies, such as acetaminophen or ibuprofen, are often preferred unless the pain is severe.

Choice C: Implement a Soft Diet

Implementing a soft diet is crucial for a child who is 24 hours postoperative following a cleft palate repair. The surgical site in the mouth is still healing, and a soft diet helps prevent any damage or irritation to the area. Soft foods are easier to swallow and less likely to cause pain or disrupt the healing process. Examples of soft foods include mashed potatoes, yogurt, and pureed fruits.

Choice D: Offer Fluids Through a Straw

Offering fluids through a straw is not recommended for a child who has undergone cleft palate repair. The suction created by using a straw can put pressure on the surgical site and potentially cause complications. Instead, fluids should be offered using a cup or a spoon to minimize any risk to the healing palate.