An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?
Administer pain medication based on the FACES pain scale.
Include the prone position in the every 2 hour turning schedule,
Careful bathing and handling that avoids abdominal manipulation.
Give antiemetic medications to prevent nausea and vomiting.
The Correct Answer is C
A. Administering pain medication based on the FACES pain scale is not the most relevant intervention in the preoperative period for a Wilms' tumor. Pain management may be addressed postoperatively, as needed.
B. Including the prone position in the every 2-hour turning schedule may not be the most appropriate intervention, as it may not be suitable for an infant with a Wilms' tumor, considering the location and potential size of the tumor.
C. Careful bathing and handling that avoids abdominal manipulation.
Wilms' tumor, also known as nephroblastoma, is a pediatric kidney cancer. Prior to surgery, it's crucial to handle the infant with care and avoid any abdominal manipulation to prevent any further complications or disruption to the tumor. This involves gentle handling and avoiding activities that may put pressure on the tumor or cause discomfort to the infant.
D. Giving antiemetic medications to prevent nausea and vomiting is a potential intervention, but it may be more relevant in the postoperative period, and its necessity would depend on the infant's individual condition and the surgical plan.
The priority during the preoperative period for an infant with a Wilms' tumor is to handle the infant carefully and avoid any actions that could exacerbate the condition or cause discomfort. The specific surgical plan and other preoperative preparations would be determined by the healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Reactions to any previous hospitalizations can provide some insight into the child's previous healthcare experiences, but it may not be as directly relevant to planning care for an umbilical hernia repair.
B. A history of rubella, rubeola, or chicken pox is important for the child's medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.
C. The mother's use of alcohol, drugs, or cigarettes during pregnancy is particularly relevant when planning care for a child undergoing surgery, as it can affect the child's overall health and potential complications during and after the procedure. Exposure to these substances during pregnancy can lead to various health issues that need to be considered in the child's care plan.
D. A list of achievement timeline for developmental milestones is important for understanding the child's developmental progress, but it may not be the primary consideration when planning care for an umbilical hernia repair.
Correct Answer is ["1.5"]
Explanation
To determine how many 10 mg tablets of amphetamine sulfate are needed to provide a 15 mg dose, you can use the following calculation:
Number of tablets = Desired dose / Tablet strength
Number of tablets = 15 mg / 10 mg/tablet = 1.5 tablets
Since the nurse is administering a half tablet, it would be important to ensure that the half tablet can be accurately measured and that the mother is aware of this when providing the medication.
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