A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?
"You should give your baby a pacifier when she cries."
"Your baby will be placed in elbow restraints following surgery."
"Your baby cannot have anything by mouth until 2 hours after surgery."
"You should position your baby on her abdomen following surgery.".
The Correct Answer is B
The correct answer is choice b. “Your baby will be placed in elbow restraints following surgery.”
Choice A rationale:
Giving a pacifier to a baby after cleft lip surgery is generally not recommended as it can put pressure on the surgical site and potentially disrupt the healing process.
Choice B rationale:
Elbow restraints are used to prevent the infant from touching or rubbing the surgical site, which helps in protecting the stitches and ensuring proper healing.
Choice C rationale:
Infants are usually allowed to have fluids by mouth soon after surgery, often within a few hours, to ensure they stay hydrated and to monitor their ability to swallow.
Choice D rationale:
Positioning the baby on their abdomen is not recommended as it can put pressure on the surgical site. Instead, the baby should be positioned on their back or side to avoid any pressure on the repaired lip
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Encouraging active range of motion of the extremity is not recommended during the first 12 to 24 hours after a sprained wrist. Early movement can potentially worsen the swelling and delay the healing process.
Choice B rationale:
Applying warm compresses to the extremity is not the best choice to minimize swelling in the initial 12 to 24 hours after a sprained wrist. Heat can actually increase blood flow and promote more swelling in the injured area.
Choice C rationale:
Elevating the extremity above the level of the heart is the correct choice for minimizing swelling in the first 12 to 24 hours after a sprained wrist. Elevating the injured area helps to reduce blood flow to the area, which in turn decreases swelling and promotes healing.
Choice D rationale:
Wrapping the extremity loosely with an elastic bandage might be beneficial for providing support, but it's not the primary intervention for minimizing swelling in the first 12 to 24 hours after a sprained wrist. Elevation is more effective for reducing swelling during this initial period.
Correct Answer is A
Explanation
Choice A rationale:
Hypertension is a common manifestation of acute glomerulonephritis. The inflammation of the glomeruli in the kidneys can lead to impaired filtration, causing fluid retention and an increase in blood pressure. Monitoring the child's blood pressure is crucial to assess the severity of the condition and guide appropriate interventions.
Choice B rationale:
Dehydration is not a typical manifestation of acute glomerulonephritis. In fact, this condition often leads to fluid retention due to impaired kidney function. The child might experience edema and hypertension rather than dehydration.
Choice C rationale:
Muehrcke lines on the nails are not associated with acute glomerulonephritis. Muehrcke lines are white lines that appear horizontally across the nails and are typically indicative of hypoalbuminemia, which is not a primary feature of glomerulonephritis.
Choice D rationale:
Hypokalemia, or low potassium levels, is not a characteristic manifestation of acute glomerulonephritis. This condition primarily affects the kidneys' ability to filter waste and excess fluid, leading to fluid retention, electrolyte imbalances, and hypertension.
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