A child returns from exploratory surgery following a gunshot wound to the abdomen. Which nursing intervention should be excluded for the plan of care?
1. Immediate initiation of oral feedings
2. Assessment of the surgical site
3. Administration of opioid narcotics for pain management
4. Visitation at the bedside
1
Explanation:
1. The child will be NPO after an exploratory abdominal surgery. The nurse should exclude this from the child's plan of care.
2. The surgical site must be visualized frequently for bleeding.
3. Pain management is essential and opioid analgesics are often necessary after exploratory surgery.
4. This describes family-centered care; parents should be involved as much as possible and should be present before the child wakes up.
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