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.
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Related Questions
Correct Answer is D
Explanation
A. Wheat toast contains gluten, which should be avoided by individuals with celiac disease.
B. Graham crackers typically contain wheat flour, which also contains gluten and should be avoided.
C. Barley contains gluten and should be avoided by individuals with celiac disease.
D. Corn tortillas are typically gluten-free, and black beans are a good source of protein and fiber, making them a suitable option for individuals with celiac disease. It's important to ensure that all food choices are gluten-free to avoid triggering symptoms of celiac disease.
Correct Answer is B
Explanation
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
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