An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Test the urine for protein

Reposition the infant frequently.

Assess blood pressure every 15 minutes

Provide a stimulating environment

Answer and Explanation

The Correct Answer is B

A. Test the urine for protein.
Explanation: Testing urine for protein is not a priority nursing intervention in the preoperative period for an infant with hydrocephalus. The focus is on preventing complications related to immobility and positioning.
B. Reposition the infant frequently.
Explanation:
Repositioning the infant frequently is a crucial intervention to prevent complications such as pressure ulcers (bedsores). Infants with hydrocephalus may be at an increased risk of skin breakdown due to prolonged immobility and pressure on specific areas. Repositioning helps distribute pressure, improves circulation, and reduces the risk of skin breakdown.
C. Assess blood pressure every 15 minutes.
Explanation: While monitoring blood pressure is important in certain situations, it is not typically the priority for an infant with hydrocephalus in the preoperative period. The focus is on preventing skin breakdown through repositioning.
D. Provide a stimulating environment.
Explanation: While providing a stimulating environment can be beneficial for infant development, it is not the priority in the preoperative period for an infant with hydrocephalus. The primary concern is addressing potential complications related to immobility, such as skin breakdown.

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Correct Answer is B

Explanation

A. "All recently used clothing, bedding, and towels must be washed in hot water."
Incorrect: While washing recently used clothing, bedding, and towels in hot water can help in controlling lice, this statement alone doesn't ensure complete eradication of lice or nits.
B. "My child must be free from nits before returning to school."
Correct Answer: This statement shows an understanding that children should be free from nits (lice eggs) before returning to school. Many schools have "no-nit" policies, requiring that children be free from both live lice and nits before re-entry.
C. "Toys that can't be dry cleaned or washed must be thrown out."
Incorrect: It's not necessary to throw out toys that cannot be cleaned. Lice cannot survive off the scalp for more than a day or two. Items that cannot be washed can be sealed in a plastic bag for two weeks to ensure any potential lice or nits die off.
D. "We will treat all the family members to be on the safe side."
Incorrect: Treating all family members is a common but not strictly necessary practice unless others show symptoms or evidence of head lice. It's recommended to focus treatment on those with live lice or nits.

A. "Has the child had any difficulty swallowing food?" B. "Does the child play with an imaginary friend?" C. "Does the child respond when called by name? D. "Was the child recently treated for pneumonia?"

Correct Answer is A

Explanation

A. "Has the child had any difficulty swallowing food?"
Explanation:
Cleft palate repair can impact various aspects of a child's development, and one potential long-term effect is difficulty with swallowing or feeding. This question is relevant to assessing the child's oral and feeding function, which can be influenced by the cleft palate repair.
B. "Does the child play with an imaginary friend?"
Explanation: Imaginary play and social interactions are not directly related to the long-term effects of cleft palate repair. This question focuses more on social and imaginative development.
C. "Does the child respond when called by name?"
Explanation: Responsiveness to one's name is a general developmental milestone and is not directly related to the long-term effects of cleft palate repair.
D. "Was the child recently treated for pneumonia?"
Explanation: While respiratory issues can be a concern in children with a history of cleft palate, this question is more specific to recent health issues and does not address the long-term effects of cleft palate repair.

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An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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