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 ["5.6"]
Explanation
Convert pounds to kg 1kg= 2.2 pounds 132pounds= 132/2.2=60kg
Desired dose per minute= 5 mcg/kg= 560=300mcg/min Desired dose per hour= 300mcg60mins= 18000mcg Available dose= 1600mg/500ml
1mg=1000mcg
Available dose = 1600000mcg/500ml Infusion rate:
1600000mcg=500ml 18000mcg=18000500/1600000
= 5.625 mL/hour
Rounded to the nearest tenth:5.6 ml/hour
Correct Answer is ["0.2"]
Explanation
750mcg=2.4ml 60mcg=602.4/750
=0.192ml
Rounded off to the nearest tenth= 0.2ml
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