The nurse is educating parents of a child with a cleft palate.
What should the nurse instruct the parents to report immediately?
Facial paralysis.
Ear infections.
Increased intracranial pressure.
Drooling.
The Correct Answer is C
Choice A rationale
While facial paralysis is a serious condition, it is not typically associated with a cleft palate.
Choice B rationale
Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.
Choice C rationale
Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.
Choice D rationale
Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
The correct answer is A, B, C, and D. After a clubfoot repair surgery, the plan of care should include observing for skin irritation, keeping the cast uncovered to allow drying, assessing the color of toes, and checking toes for capillary refill. Keeping the casted leg lowered is not recommended as it can lead to swelling.
Correct Answer is B
Explanation
Choice A rationale
A set of blocks to build a block tower may not be suitable for a 7-month-old infant. At this age, infants are still developing their fine motor skills and may not have the dexterity to stack blocks effectively. Moreover, there’s a risk of the infant putting small blocks in their mouth, posing a choking hazard.
Choice B rationale
A soft toy that squeaks or crackles when squeezed is an excellent choice for a 7-month-old infant. At this age, infants are exploring their environment through touch and sound. A soft toy that makes noise when squeezed can provide sensory stimulation and help develop their grasp reflex.
Choice C rationale
A colorful rib mobile that plays music might be more suitable for younger infants. By 7 months, infants are often able to sit up and may not spend as much time lying down looking at a mobile. Additionally, they may try to pull on the mobile, posing a safety risk.
Choice D rationale
A wooden farm animal puzzle with large pieces is typically more appropriate for older toddlers who have more advanced fine motor skills and cognitive abilities. A 7-month-old infant may not have the ability to understand the concept of a puzzle.
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