The nurse is planning postop care for an infant after a cleft lip repair. The plan should include:
1. Prone positioning.
2. Suctioning with a Yankauer device.
3. Supine or side-lying positioning.
4. Avoidance of soft elbow restraints.
3
Rationale:
1. The prone position should be avoided.
2. A Yankauer suction device is made of hard plastic, and could cause trauma to the suture line. Suctioning should be done with a small soft suction catheter.
3. Integrity of the suture line is essential for postop care of cleft lip repair. The infant should be placed in a supine or side-lying position to avoid rubbing the suture line on the bedding.
4. Soft elbow restraints may be used to prevent the infant from touching the incisional area.
You might also like to view...
A family consumed some undercooked hamburger at a picnic and has since developed bloody diarrhea. The nurse knows which of the following statements listed below is correct regarding the infectious process?
A) Evasive factors that become more virulent by evading parts of the host's immune system B) Exotoxins that damage vascular endothelium causing bleeding and low platelet counts C) Adhesion factors that can anchor a pathogen firmly to the host tissue surfaces D) Invasive factors capable of destroying the cell membrane by utilization of enzymes
The nurse is caring for a 5-year-old girl with a disseminated medulloblastoma. Which of the following interventions would be most appropriate for this situation?
A) Providing emotional support to the parents and siblings of the child B) Recommending support groups for people whose children have cancer C) Encouraging the family to cry and express feelings away from the child D) Educating the family about the disease, its treatments, and side effects
The nurse notifies the health care provider that a patient is experiencing signs of myxedema. What assessment parameters has the nurse noted? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Facial swelling 2. Anuria 3. Macroglossia 4. Fever 5. Bradycardia
A 52-year-old male patient of English descent is diagnosed with basal cell cancer on the face and forehead. What should the nurse include when teaching this patient about his diagnosis?
1. This type of skin cancer tends to reoccur. 2. This is a virulent form of skin cancer. 3. This type of skin cancer should be left alone. 4. This type of skin cancer is rare.