The nurse is assigned to care for an infant following a cleft lip repair. The nurse is asked to observe the parent in the procedure for cleaning the lip repair site
The nurse determines that the parent is performing the procedure correctly if the parent uses which of the following solutions to clean the site? 1. Ice water
2. Sterile water
3. Half-strength alcohol
4. Full strength hydrogen peroxide
2
Rationale: The lip repair site is cleansed with sterile water using a cotton swab; it is cleansed after feeding and as prescribed. The mother should be instructed to use a rolling motion from the suture line out. "Ice water," "half-strength alcohol," and "full strength hydrogen peroxide" are incorrect.
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The nurse is concluding her initial visit with a patient 28 weeks pregnant on bedrest for premature rupture of membranes. What data should the nurse consider when determining the timing of the next home visit?
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A client who experienced a spinal cord injury 1 hour ago is brought to the emergency room. Which medication should the nurse prepare to administer to this client?
A. Intrathecal baclofen B. Methylprednisolone C. Atropine sulfate D. Epinephrine