Nokea
On the second postoperative day after repair of a cleft palate, which of the following should the nurse use to feed a toddler?
- A. Cup.
- B. Straw.
- C. Rubber-tipped syringe.
- D. Large-holed nipple.
Correct Answer: C
Rationale: A rubber-tipped syringe allows controlled feeding, minimizing stress on the surgical site while ensuring adequate nutrition.
You may also like to solve these questions
After surgery to repair a tracheoesophageal fistula, an infant receives gastrostomy tube feedings. After feeding the infant by this method, the nurse positions the infant with the head elevated for approximately 30 minutes, primarily to help accomplish which of the following?
- A. Promote intestinal peristalsis.
- B. Prevent regurgitation of formula.
- C. Relieve pressure on the surgical site.
- D. Associate eating with a pleasurable experience.
Correct Answer: B
Rationale: Head elevation reduces the risk of formula reflux, protecting the surgical site and airway.
A child with a brain tumor is less responsive to verbal commands than he was when assessed the previous hour. The nurse should next:
- A. Raise the head of the bed.
- B. Notify the physician.
- C. Administer an analgesic.
- D. Obtain an oximeter reading.
Correct Answer: B
Rationale: Decreased responsiveness indicates worsening neurological status, requiring immediate physician notification for further evaluation.
The parents of a 12-year-old girl ask why their non-sexually active daughter should receive the human papillomavirus (HPV) vaccine. The nurse should tell the parents:
- A. The vaccine is most effective against cervical cancer if given before becoming sexually active.
- B. Parents are never sure when their child might become sexually active.
- C. HPV is most common in teens and women in their late twenties.
- D. If your daughter is sexually assaulted, she may be exposed to HPV.
Correct Answer: A
Rationale: The HPV vaccine is most effective when given before potential exposure to the virus.
A nurse who witnesses an accident involving an adolescent riding a motorcycle, hitting a tree, and being thrown 30 feet into a field stops to help. The adolescent reports that he is now unable to move his legs. While waiting for the emergency medical service to arrive, what should the nurse do?
- A. Flex the adolescent's knees to relieve stress on his back.
- B. Leave the adolescent as he is, staying close by.
- C. Remove the adolescent's helmet as soon as possible.
- D. Assess the adolescent for abdominal trauma.
Correct Answer: B
Rationale: Immobilizing the adolescent by leaving him undisturbed prevents further spinal cord damage until EMS arrives.
After insertion of bilateral tympanostomy tubes in a toddler, which of the following instructions should the nurse include in the child's discharge plan for the parents?
- A. Insert ear plugs into the canals when the child bathes.
- B. Blow the nose forcibly during a cold.
- C. Administer the prescribed antibiotic while the tubes are in place.
- D. Disregard any drainage from the ear after 1 week.
Correct Answer: C
Rationale: Administering prescribed antibiotics as directed is crucial to prevent infection after tympanostomy tube insertion. Ear plugs are not typically recommended, as they can introduce bacteria. Forcibly blowing the nose can disrupt the tubes, and any drainage after 1 week should be reported, not disregarded.