A nurse is providing discharge teaching to parents of an infant following an umbilical hernia repair. Which of the following should the nurse include in the teaching?

Avoid giving the infant any pain medication

Allow the infant to cry for long periods of time.

Apply pressure to the site each night.

keep the incision site dry and clean

Answer and Explanation

The Correct Answer is D

A.   Pain medication may be necessary for the infant following surgery; however, it should be administered as prescribed by the healthcare provider.
B.   Allowing the infant to cry for long periods of time may strain the surgical site and delay healing; comforting the infant is recommended.

C.   Applying pressure to the site each night is not necessary and may cause discomfort or disrupt healing.
D.   Keeping the incision site dry and clean helps prevent infection and promotes healing after umbilical hernia repair.

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Correct Answer is B

Explanation

A. Side-lying position during sleep may exacerbate gastroesophageal reflux in infants.
B. Keeping the baby in an upright position after feedings can help prevent reflux by allowing gravity to keep stomach contents down.
C. Breastfeeding is generally preferred for infants with gastroesophageal reflux because breast milk is more easily digested.
D. Thickening formula with oatmeal may be recommended in some cases but is not the primary intervention for managing gastroesophageal reflux.

A. Pyloric stenosis B. Encopresis C. Hirschsprung's disease D. Enterocolitis

Correct Answer is C

Explanation

A. Pyloric stenosis involves obstruction at the outlet of the stomach and is not related to the large intestine.
B. Encopresis refers to bowel incontinence and is not typically associated with mechanical obstruction of the large intestine.
C. Hirschsprung's disease, characterized by the absence of ganglion cells in the large intestine, results in decreased motility and mechanical obstruction, leading to megacolon.
D. Enterocolitis is inflammation of the intestines and can be a complication of Hirschsprung's disease but is not the primary disorder causing mechanical obstruction.

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A nurse is providing discharge teaching to parents of an infant following an umbilical hernia repair. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for an infant who has aganglionic megacolon causing decreased motility of part of the intestine. The nurse should identify this finding of mechanical obstruction as a manifestation of which of the following disorders?

Correct Answer is C

Explanation

A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

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