ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Infant in post-anesthesia care unit following cleft lip and palate repair.
Question 1 of 5
A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Maintain elbow restraints in the postoperative period. Elbow restraints are commonly used post-cleft lip and palate repair surgery to prevent the infant from touching or rubbing the surgical site, reducing the risk of injury and promoting proper healing. Restraints also help to minimize the risk of dehiscence or disruption of the surgical wound. This action aligns with the principle of preventing complications and promoting optimal healing.
Other choices are incorrect:
A: Offering a pacifier with sucrose for pain relief may not be appropriate immediately postoperatively as the infant may still be recovering from anesthesia.
C: Placing the infant in trendelenburg position is not indicated post-cleft lip and palate repair and may lead to increased risk of complications such as aspiration.
D: Providing an ice collar for pain is not typically recommended in this scenario and may not address the specific needs of the infant post-surgery.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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