What is the primary purpose of using elbow restraints (NoNo's) in an infant following a cleft lip repair surgery? To:
facilitate proper feeding and swallowing in the infant
promote comfort and relaxation in the infant
prevent the infant from injuring the repair site
encourage the infant to use their arms and hands for exploration
The Correct Answer is C
A. Facilitate proper feeding and swallowing in the infant. – Incorrect. Feeding modifications are needed, but elbow restraints do not assist with swallowing.
B. Promote comfort and relaxation in the infant. – Incorrect. Restraints prevent disruption of the surgical site but do not specifically provide comfort.
C. Prevent the infant from injuring the repair site. – Correct. Elbow restraints prevent the infant from touching or rubbing the surgical site, reducing the risk of wound dehiscence.
D. Encourage the infant to use their arms and hands for exploration. – Incorrect. The purpose of the restraints is to limit arm movement, not promote exploration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.
Rationale for incorrect options:
Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.
Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.
Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.
Correct Answer is B
Explanation
A. "I need to check food labels for hidden sources of gluten, like barley and rye." – Correct. Gluten is found in wheat, rye, barley, and some processed foods.
B. "I can still enjoy oatmeal for breakfast." – Incorrect. Oats can be contaminated with gluten unless labeled gluten-free.
C. "My family should use separate serving utensils for gluten-free foods." – Correct. Preventing cross-contamination is essential in managing celiac disease.
D. "I need to avoid foods like bread, pasta, and cereal." – Correct. These typically contain gluten, unless specifically made gluten-free.
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