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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking for a distended bladder is the priority action because a distended bladder can contribute to uterine atony and excessive bleeding postpartum.
B. Reviewing the hemoglobin to determine hemorrhage may be necessary, but assessing for a distended bladder takes precedence as it can directly affect uterine tone.
C. Massaging the uterus to decrease atony may be appropriate if the uterus is boggy, but in this scenario, the uterus is firm.
D. Increasing intravenous infusion may be necessary if the client is hypovolemic, but assessing for a distended bladder should be done first to address potential causes of uterine atony.
Correct Answer is ["4"]
Explanation
1kg=2.2 pounds
44pounds= 44/2.2= 20kg
Desired dose= 2mg/kg= 220= 40mg
Available formulation= 10mg/ml
Dose to administer= desired dose/ formulation= 40/10= 4 ml
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
