A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

Allow the infant to have soft foods.

Maintain elbow restraints on the infant.

Instruct the parents to feed the infant with a spoon.

Tell the parents to avoid brushing the infant's teeth for two weeks.

Answer and Explanation

The Correct Answer is B

The nurse should include maintaining elbow restraints on the infant in the plan of care following cleft palate repair. This helps to prevent the infant from touching their surgical site and disrupting the healing process.

a) Allowing the infant to have soft foods may be appropriate, but it is not the highest priority. The infant's diet should be determined by the provider and based on the infant's individual needs.

c) Instructing the parents to feed the infant with a spoon may be appropriate, but it is not the highest priority. The infant's feeding method should be determined by the provider and based on the infant's individual needs.

d) Telling the parents to avoid brushing the infant's teeth for two weeks may be appropriate, but it is not the highest priority. The infant's oral care should be determined by the provider and based on the infant's individual needs.

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Correct Answer is C

Explanation

c. The toddler can say four words.

Explanation:

The nurse should report to the provider that the toddler can say four words. At 18 months, a toddler typically has a vocabulary of about 6 to 20 words and is beginning to combine words into simple phrases. If the toddler is only able to say four words or has a delay in language development, it could be a cause for concern and warrant further evaluation.

The other options are age-appropriate developmental milestones for an 18-month-old toddler and do not require immediate reporting to the provider. The ability to remove socks, having a security blanket, and throwing a ball without falling are all examples of normal developmental skills for a toddler of this age.

A. Vomiting B. Confusion C. Incontinence D. Tinnitus

Correct Answer is B

Explanation

A nurse collecting data for a client following electroconvulsive therapy should expect that the client may experience confusion as an adverse eﬀect. Confusion is a common side eﬀect of electroconvulsive therapy and can last for minutes to hours after treatment.

The other options are not typical adverse eﬀects of electroconvulsive therapy.

a) Vomitingis not a typical adverse eﬀect of electroconvulsive therapy.

c) Incontinenceis not a typical adverse eﬀect of electroconvulsive therapy.

d) Tinnitusis not a typical adverse eﬀect of electroconvulsive therapy.

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A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is collecting data for a client following electroconvulsive therapy. Which of the following adverse eﬀects should the nurse expect?

Correct Answer is B

Explanation

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