A6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy, Which pre- operative nursing action has highest priority?
Mark an outline of the "olive-shaped mass in the right epigastric area
Initiate a continuous infusion of IV Fluids per prescription.
Monitor amount of intake and infant's response to feedings.
Instruct parents regarding care of the incisional area.
The Correct Answer is B
A. Marking an outline of the "olive-shaped mass" in the right epigastric area is important for diagnosis, but not a priority pre-operatively.
B. Initiating a continuous infusion of IV fluids is crucial to ensure the infant is properly hydrated before the procedure, as pyloric stenosis can cause severe dehydration.
C. Monitoring the amount of intake and the infant's response to feedings is part of ongoing care, but immediate pre-operative hydration takes precedence.
D. Instructing parents regarding care of the incisional area is necessary post-operatively, not before the surgery.
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Related Questions
Correct Answer is B
Explanation
A. Explaining that the dosage has been changed is not appropriate without verifying the correct dosage first.
B. Withholding the medication until the dosage can be confirmed is the safest approach to prevent potential medication errors.
C. Informing the client that he may refuse the medication is an option, but it does not address the potential discrepancy in dosage.
D. Telling him to take the medication and then verifying the dosage at the next healthcare team meeting could result in a medication error and is not a safe practice
Correct Answer is D
Explanation
A. Explaining that the dosage has been changed is not appropriate without confirming the accuracy of the prescription.
B. Telling him to take the medication and verifying the dosage later could result in harm if the dosage is incorrect.
C. Informing him that he may refuse the medication is an option, but it does not address the potential error in dosage.
D. Withholding the medication until the dosage can be confirmed is the safest action to prevent potential medication errors
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