A nurse is planning care for an adolescent following the repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care?
Teach the client about ostomy care.
Administer total parenteral nutrition.
Initiate long-term antibiotic therapy.
Maintain an NG tube for decompression.
The Correct Answer is D
A. Teaching the client about ostomy care is unnecessary because surgical repair of Meckel diverticulum does not typically require an ostomy.
B. Administering total parenteral nutrition (TPN) is not routinely required postoperatively unless there are significant complications affecting digestion.
C. Initiating long-term antibiotic therapy is not standard post-surgical care for Meckel diverticulum repair; antibiotics are usually given short-term to prevent infection.
D. Maintaining an NG tube for decompression is appropriate because postoperative bowel rest is needed to prevent distension and reduce the risk of complications such as ileus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Unexplained weight gain is not a typical finding in Hodgkin's lymphoma. Weight loss is more commonly associated with this condition.
B. Night sweats are a common symptom of Hodgkin's lymphoma. They can be indicative of the body's response to the cancer.
C. Flushed skin is not typically associated with Hodgkin's lymphoma. Pallor or jaundice may be more commonly observed.
D. Decreased body temperature is not a typical finding in Hodgkin's lymphoma. Infection or fever may lead to an elevated body temperature.
Correct Answer is C
Explanation
A. Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.
B. Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.
C. A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.
This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.
D. Creatinine level of 0.3 mg/dL is within the normal range for a child.
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