A nurse is obtaining care for a clieture of a newborn. Which of the following sites should the nurse use?

Keep the client on NPO status.

Administer a laxative to the client.

Apply heat to the client's abdomen.

Place the client's head of bed flat.

Answer and Explanation

The Correct Answer is D

A. Keeping a newborn on NPO (nothing by mouth) status may be required in specific situations but not generally for routine care.

B. Laxatives are not routinely administered to newborns unless medically indicated for constipation.

C. Applying heat to the abdomen is not appropriate unless ordered by a healthcare provider, especially if the infant's temperature regulation is compromised.

D. Placing the head of the bed flat can help with positioning the newborn to prevent any breathing difficulties or aspiration.

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Correct Answer is C

Explanation

A. Return in two weeks for a follow-up MRI: MRI is generally contraindicated for clients with ICDs unless the device is MRI-compatible.

B. Expect to have a rapid pulse rate for the first few weeks: ICDs do not cause a sustained rapid pulse rate.

C. Wear loose-fitting clothing: Loose clothing prevents irritation and promotes healing of the surgical site, reducing the risk of infection.

D. Resume tub baths and swimming after 24 hr: Clients should avoid soaking the surgical site until fully healed.

A. Offer small amounts of clear liquids 6 hr following surgery. B. Administer analgesics on a scheduled basis for the first 24 hr. C. Give cromolyn nebulized solution every 8 hr. D. Apply a warm compress to the operative site once daily.

Correct Answer is B

Explanation

A. Offer small amounts of clear liquids 6 hr following surgery: Typically, clear liquids can be introduced earlier if the child is awake and has no nausea.

B. Administer analgesics on a scheduled basis for the first 24 hr: Scheduled analgesia provides consistent pain relief, improving comfort and facilitating early mobilization, which is essential for preventing complications such as ileus or pneumonia.

C. Give cromolyn nebulized solution every 8 hr: Cromolyn is used for asthma, not postoperative care.

D. Apply a warm compress to the operative site once daily: Heat application to the surgical site is contraindicated as it may promote infection.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

A nurse is obtaining care for a clieture of a newborn. Which of the following sites should the nurse use?

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