S.G. is a 6-month-old girl who is scheduled for sequential repair of her cleft lip (cheiloplasty) and palate
(palatoplasty). she has recently been adopted from China and her past medical history is unknown.
S.G. is
scheduled for her cleft lip repair, and Mrs. G. brings her to the same-day surgery unit the week before for
her preoperative workup. As you do her workup, you recognize that care of the child with clefting uses a
multidisciplinary approach.
iscuss additional health problems for which these patients are at risk and who on the
craniofacial team would address each issue:
• Surgeon to address the surgical repair of the defect(s).
• Pediatrician to address the overall health status of the patient.
• Dentist or orthodontist: Children might have missing or malpositioned dentition that interferes
with speech or feeding.
• Speech-language pathologist (SLP): works on avoidance or correction of compensatory speech
patterns usually related to cleft palate and feeding issues.
• Otolaryngologist or audiologist: addresses eustachian tube dysfunction and hearing loss.
• Many craniofacial teams also have a social worker.
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The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)
a. Reflexes b. Color c. Heart rate d. Respiration e. Weight
Once the acute feelings of illness are resolved, what is an appropriate intervention when treating a client with a psychosocial problem?
a. Avoid expression of feelings as this will provide a relapse of acute symptoms. b. Minimize secondary gains. c. Convey an attitude that such behavior is not acceptable. d. Assist the client to limit social network to avoid additional stress.
The nurse is preparing to discharge a patient home. During discharge teaching, the nurse realizes that the patient is not able to read the medication bottles and has not been taking her medications at home
How should the nurse intervene appropriately in this situation? A) By asking the social worker to investigate nursing home placement B) By asking the social worker to investigate community support agencies C) By informing that patient that surgery will correct the vision problem D) By informing the patient that she will need to go to a rehabilitation facility for vision training
When bathing your clients, you should do which of the following to decrease friction and excoriation?
1. Do not use soap. 2. Use a soft washcloth and towel. 3. Avoid washing overly dry skin. 4. Do not use moisturizing lotion.