A nurse is planning care for an adolescent following repair of Meckel Diverticulum.Which of the following actions should the nurse include in the plan of care?
Administer total parenteral nutrition
Initiate long term antibiotic therapy
Maintain an Ng tube for decompression
Teach the client about ostomy care
The Correct Answer is C
Choice A rationale
Administering total parenteral nutrition is not typically necessary following repair of Meckel’s Diverticulum. The patient is usually able to resume normal eating habits after surgery.
Choice B rationale
Long-term antibiotic therapy is not typically required following repair of Meckel’s Diverticulum. Antibiotics may be used in the short term to prevent infection, but long-term use is not usually necessary.
Choice C rationale
Maintaining an NG tube for decompression is a common part of care following abdominal surgery, including repair of Meckel’s Diverticulum. This helps to relieve pressure and allow the intestines to rest and heal.
Choice D rationale
Teaching the client about ostomy care is not typically necessary following repair of Meckel’s Diverticulum, as an ostomy is not usually required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A creatinine level of 1.4 mg/dL is higher than the normal range and could indicate kidney damage, which is a known side effect of gentamicin. Therefore, the nurse should notify the healthcare provider.
Choice B rationale
A creatinine level of 0.3 mg/dL is within the normal range, so it would not typically be a cause for concern.
Choice C rationale
A BUN level of 12 is within the normal range, so it would not typically be a cause for concern.
Choice D rationale
A BUN level of 6 is within the normal range, so it would not typically be a cause for concern.
Correct Answer is A
Explanation
Choice A rationale
An allergy to neomycin is a contraindication for receiving the measles, mumps, rubella (MMR) vaccine. Neomycin is an antibiotic that is used in some vaccines, including the MMR vaccine, to prevent bacterial contamination during the vaccine’s production. If a child has a known allergy to neomycin, they should not
receive the MMR vaccine because they could have a severe allergic reaction.
Choice B rationale
An upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine. While it’s generally recommended to wait until a child is healthy to give them a vaccine, a mild illness like a cold or upper respiratory infection usually isn’t a reason to delay vaccination.
Choice C rationale
A temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine. This temperature is within the normal range and does not indicate a fever or illness that would prevent vaccination.
Choice D rationale
A family history of seizures is not a contraindication for receiving the MMR vaccine. While febrile seizures can occur in some children after receiving the MMR vaccine, they are rare and are not more likely to occur in children with a family history of seizures.
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