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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Switch to a soy-based formula: Bloody stools in infants can be indicative of a cow's milk protein allergy or intolerance. Switching to a soy-based formula may alleviate symptoms in such cases.
B. Switch to a goat's milk formula: Goat's milk is not recommended for infants as it lacks essential nutrients and can lead to nutritional deficiencies and other health issues.
C. Switch to an unpasteurized milk formula: Unpasteurized milk poses a risk of bacterial contamination and is not recommended, especially for infants who are more susceptible to infections.
D. Switch to a condensed milk formula: Condensed milk is not suitable as a primary source of nutrition for infants and does not address the potential underlying issue of cow's milk intolerance.
Correct Answer is C
Explanation
A. Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B. While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C. Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D. Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.
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