Author Question: The nurse is providing care to an infant who underwent surgery for pyloric stenosis. Which actions ... (Read 104 times)

olgavictoria · **on:** Jun 25, 2018

The nurse is providing care to an infant who underwent surgery for pyloric stenosis. Which actions by the nurse will decrease the risk for infection when caring for this infant?

Select all that apply.
A) Monitor temperature every hour.
B) Place pressure on the incision.
C) Inspect the incision for redness, swelling, or discharge.
D) Auscultate the lungs to assess for any adventitious sounds.
E) Give the infant a tub bath.

Question 2

The nurse is working in a urology clinic and is providing care for a client with urinary stress incontinence. The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence.

Which is the desired outcome for a client with this diagnosis?
A) The client will stop the flow of urine when voiding.
B) The client will improve her incontinence within 1 month.
C) The client will empty her bladder every time she voids.
D) The client will perform 4-5 squeezes (Kegel exercises) for 10-15 seconds.

Animal_Goddess · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C, D

The infant who is post-surgery after the correction of pyloric stenosis will be at an increased risk for infection. Appropriate interventions include inspecting the incision site for redness, welling, or discharge and auscultating the lungs for adventitious breath sounds which could indicate pneumonia. The nurse will monitor the infant's temperature every 4 hours. Care must be taken to decrease pressure on the incision. The infant should be provided with a sponge bath until the surgical incision has healed.

Answer to Question 2

Answer: D

Performing 4-5 squeezes for 10-15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3-6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding, because this could lead to retention.