ATI RN
ATI Nurs 213 Pediatric Exam Questions
Extract:
A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair.
Question 1 of 5
Which of the following interventions should the nurse include in the infant's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Apply and release elbow restraints every hour. This intervention is important for preventing skin breakdown and maintaining proper positioning in infants at risk for injury or harm. Elbow restraints help limit movement and prevent the infant from pulling out tubes or lines. Regularly applying and releasing the restraints every hour ensures circulation is not compromised and allows for repositioning to prevent pressure ulcers.
A: Suctioning the mouth with an oral suction tube may be necessary in certain situations but is not a primary intervention for infant care.
B: Feeding an infant with a spoon for 48 hours is not appropriate as infants usually require feeding through other methods.
C: Keeping the infant supine is not specific enough and may not address the infant's individual needs or risks.
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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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