Which expected appearance will the nurse explain to parents of an ...

[melly21297]

Which expected appearance will the nurse explain to parents of an infant returning from surgery after an enucleation was performed to treat retinoblastoma? (Select all that apply.)
 
  a. A lot of drainage will come from the affected socket.
  b. The face may be edematous or ecchymotic.
  c. The eyelids will be sutured shut for the first week.
  d. There will be an eye pad dressing taped over the surgical site.
  e. The implanted sphere is covered with conjunctiva and resembles the lining of the mouth.

Question 2

Which assessment findings indicate to the nurse a child has Down syndrome? (Select all that apply.)
 
  a. High arched narrow palate
  b. Protruding tongue
  c. Long, slender fingers
  d. Transverse palmar crease
  e. Hypertonic muscle tone

[swimkari]

Answer to Question 1

ANS: B, D, E
After enucleation surgery, the parents are prepared for the child's facial appearance. An eye patch is in place, and the child's face may be edematous or ecchymotic. Parents often fear seeing the surgical site because they imagine a cavity in the skull. A surgically implanted sphere maintains the shape of the eyeball, and the implant is covered with conjunctiva. When the eyelids are open, the exposed area resembles the mucosal lining of the mouth. The dressing, consisting of an eye pad taped over the surgical site, is changed daily. The wound itself is clean and has little or no drainage. So expecting a lot of drainage is not accurate to tell parents. The eyelids are not sutured shut after enucleation surgery.

Answer to Question 2

ANS: A, B, D
The assessment findings of Down syndrome include high arched narrow palate, protruding tongue, and transverse palmar creases. The fingers are stubby and the muscle tone is hypotonic not hypertonic.