An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
a. Initiating discharge teaching
b. Performing baseline physical and behavioral assessment
c. Observing for allergic reactions to preoperative antibiotics
d. Determining whether this defect exists in other family members
ANS: B
It is essential to assess the infant before surgery to obtain a baseline. Postoperative changes can be identified and a determination can be made regarding pain or change in status. The parents are not ready for discharge teaching. Their focus is on the congenital defect and surgery. Although a remote possibility, allergic reactions rarely occur on the first dose. Determining whether this defect exists in other family members is an important part of the history but is not a priority before surgery.
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