An infant born with congenital glaucoma is scheduled for surgery. ...

[amal]

An infant born with congenital glaucoma is scheduled for surgery. Which preoperative order should the nurse question for this patient?
 
  A) A preoperative antibiotic
  B) Nothing by mouth prior to surgery
  C) A preoperative injection of atropine
  D) Arm restraints to be applied after surgery

Question 2

The nurse referring a child to home care discusses the advantages and disadvantages with the child's family. Which of the following are disadvantages of this method of health care? Select all answers that apply.
 
  A) The nurse is performing care of the child in the family's home.
  B) The home care nurse is not always equipped to perform technical care.
  C) The out-of-pocket cost of home care is more expensive.
  D) The technical procedures may be overwhelming for the family.
  E) The financial burden may cause more stress for the family.
  F) The child does not receive continuity of care provided in the hospital setting.

[Tonny]

Answer to Question 1

C
Feedback:
Before surgery, the infant should not receive any drug, such as atropine sulfate, that dilates the pupil because this will further occlude the canal of Schlemm. Preoperative antibiotics, nothing by mouth before surgery, and the use of arm restrains after surgery are all orders that would be appropriate for the care of this child.

Answer to Question 2

A, C, D, E
Feedback:
There are some disadvantages to home care. The presence of health care professionals in the home can be an intrusion on family privacy. Financial issues can become a large burden: families may have higher out-of-pocket costs if their insurance does not reimburse for home care. Having one parent at home full time and not earning an income can contribute to increased financial strain, not to mention social isolation of that parent. All of these can lead to increased stress on family members. Also, caring for children with complex medical needs can be overwhelming for some families. The home care nurse should arrange for continuity of care for the child.