Which order should the nurse question when caring for a child after surgery for Hirschsprung's disease?
a. Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C.
b. Assess stools after surgery.
c. Keep the child NPO until bowel sounds return.
d. Maintain IV fluids at an ordered rate.
A
Rectal temperatures should not be taken after this surgery. Rectal temperatures are generally not the route of choice for children because of the route's traumatic nature. Assessing stools after surgery is an appropriate intervention postoperatively. Stools should be soft and formed. Keeping the child NPO until bowel sounds return is an appropriate intervention postoperatively. Maintaining IV fluids at an ordered rate is an appropriate postoperative order.
You might also like to view...
An infant with a congenital heart defect is being discharged home until the infant reaches an appropriate weight for the corrective surgery
The nurse would teach the parents infant feeding techniques including: Standard Text: Select all that apply. 1. Breastfeed if possible. 2. Complete each feeding within 30 minutes. 3. Position the infant flat to promote swallowing. 4. Dilute the formula with extra water to ensure adequate fluid intake. 5. Burp the infant frequently.
A nurse assessing the stat lab results realizes that an increase in the patient's mean corpuscular volume could possibly be which of the following?
A) Folate deficiency B) Sickle cell C) Chronic disease D) Endocarditis
Drugs of choice for the induction of labor include: (Select all that apply.)
1. oxytocin 2. ergonovine 3. Decadron 4. prostaglandins
Client teaching on proper administration of a thyroid replacement drug includes which instruction?
a. Advise the client to report symptoms of hypothyroidism. b. Instruct the client to take the drug at the same time each day. c. Instruct the client to eat foods that inhibit thyroid secretion. d. Teach the client to take the medication on a full stomach.