The nurse will teach the family of an infant who has had a cleft lip repair how to clean the suture line after feeding. The nurse will instruct the family to:
a. use a damp, soft washcloth to gently wash the suture line
b. clean the suture line with cotton-tipped applicators dipped in diluted hydrogen peroxide
c. gently clean with cotton balls saturated with sterile normal saline solution or sterile water
d. use an Asepto syringe or a bulb syringe to flush water thoroughly over the surgical site
B
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A Incorrect. The nurse will not instruct the family to use a damp, soft washcloth to gently wash the suture line.
B Correct. The nurse will teach the family of an infant who has had a cleft lip repair to clean the suture line after feeding with cotton-tipped applicators dipped in diluted hydrogen peroxide.
C Incorrect. The nurse will not instruct the family to gently clean with cotton balls saturated with sterile normal saline solution or sterile water.
D Incorrect. The nurse will not instruct the family to use an Asepto syringe or a bulb syringe to flush water thoroughly over the surgical site.
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