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

A) Allowing the infant to have soft foods is not recommended immediately following surgery to protect the surgical site.

B) Maintaining elbow restraints prevents the infant from touching or injuring the repair site, which is crucial for proper healing.

C) Feeding the infant with a spoon could disrupt the surgical site and is not advised until cleared by a healthcare provider.

D) While oral hygiene is important, brushing the infant's teeth could harm the repair site; however, specific post-operative care instructions regarding oral hygiene should be provided by the healthcare provider, which may or may not include a temporary cessation of brushing.

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Correct Answer is A

Explanation

A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

A. A 2-month-old infant B. A 4-month-old infant C. A 6-month-old infant D. A 15-month-old toddler

Correct Answer is A

Explanation

A. The initial DTaP vaccine is typically administered to infants at 2 months of age as part of the routine childhood vaccination schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). This vaccine is crucial for protecting infants against diphtheria, tetanus, and pertussis.
B. While DTaP vaccination is important, it is usually administered at 2, 4, and 6 months of age, with booster doses given later in childhood. Therefore, a 4-month-old infant would have already received the initial dose by this time.
C. Similarly, a 6-month-old infant would have already received the initial dose of the DTaP vaccine at 2 months of age, as part of the recommended vaccination schedule.
D. By 15 months of age, the child would have completed the primary series of DTaP vaccination and would be due for a booster dose rather than the initial vaccine.

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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

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Explanation

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Correct Answer is A

Explanation

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