A child is being discharged from the hospital after a pyloromyotomy. Which discharge instruction does the nurse provide for the parents?
A.
Keep child NPO for 48 hours.
B.
Monitor the skin around the colostomy.
C.
No pain control should be needed.
D.
Report vomiting after 48 hours.
ANS: D
A pyloromyotomy is performed for pyloric stenosis performed via laparoscopy. Some vomiting may still occur for up to 36 hours postoperatively, but vomiting persisting beyond 48 hours needs to be reported to the health-care provider. Small feedings are usually started around 4-6 hours postoperatively. A colostomy is not performed for this condition. With any invasive surgical procedure, pain control will be needed based on assessment of the patient.
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