- ANSWER>>"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then apply temporary colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
- ANSWER>>Apply an antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching?
- ANSWER>>"I will make sure my child washes her hands before eating"
A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate?
- ANSWER>>"Bring your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority . (causes icp hydrocephalus)
- ANSWER>>lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
a nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?
- ANSWER>>Perform neurovascular checks of the affected extremity (check for infection, color, capillary refill, redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of aspirin. Which of the following substances should the nurse administer to the toddler?
- ANSWER>>Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins)
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