Answer to Question 1
C
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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
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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.
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