Author Question: The nurse is caring for an infant recovering from surgery for pyloric stenosis. Which nursing ... (Read 89 times)

krzymel · **on:** Jun 27, 2018

The nurse is caring for an infant recovering from surgery for pyloric stenosis. Which nursing diagnosis should the nurse use to guide care during the immediate postoperative period?

A) Anxiety related to new feeding method used postoperatively
B) Ineffective tissue perfusion related to pressure on heart chambers
C) Excess fluid volume related to increased fluid intake prescribed postoperatively
D) Risk for infection of incision line, related to disruption of skin barrier during surgery

Question 2

The nurse is providing care for children in a pediatric medical home. Which of the following is a characteristic of care in these types of facilities?

A) All insurance except Medicaid is accepted.
B) Ambulatory care is not provided
C) A centralized database contains all child information.
D) Continuity of care is provided from infancy through adulthood.

Carissamariew · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
Because the incision line for a pyloric stenosis repair is near the diaper area, the child is at risk for developing a surgical infection. The diagnosis risk for infection of incision line is the most appropriate during the immediate postoperative period. Anxiety might be appropriate after the immediate postoperative period has passed. There is no enough information to determine if the infant is being given excessive fluid or if the infant is experiencing ineffective tissue perfusion.

Answer to Question 2

C
Feedback:
In a medical home a centralized database contains all pertinent information. All insurance including Medicaid is accepted in the medical home and ambulatory care is provided. Continuity of care is also provided from infancy to adolescence.