The nurse is preparing to care for an infant returning from ...

[Pineapplelove6]

The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing (Select all that apply)?
 
  a. Nothing by mouth for 24 hours
  b. Administration of analgesics for pain
  c. Ice bag to the incisional area
  d. Intravenous (IV) fluids continued until tolerating fluids by mouth
  e. Clear liquids as the first feeding

Question 2

Which interventions should a nurse implement when caring for a child with hepatitis (Select all that apply)?
 
  a. Provide a well-balanced, low-fat diet.
  b. Schedule playtime in the playroom with other children
  c. Teach parents not to administer any over-the-counter medications.
  d. Arrange for home schooling because the child will not be able to return to school.
  e. Instruct parents on the importance of good hand washing.

[mcarey591]

Answer to Question 1

ANS: B, D, E
Feedings are usually instituted soon after a pyloromyotomy surgery, beginning with clear liquids and advancing to formula or breast milk as tolerated. IV fluids are administered until the infant is taking and retaining adequate amounts by mouth. Appropriate analgesics should be given around the clock because pain is continuous. Ice should not be applied to the incisional area as it vasoconstricts and would reduce circulation to the incisional area and impair healing.

Answer to Question 2

ANS: A, C, E
The child with hepatitis should be placed on a well-balanced, low-fat diet. Parents should be taught to not give over-the-counter medications because of impaired liver function. Hand hygiene is the most important preventive measure for the spread of hepatitis. The child will be in contact isolation in the hospital, so playtime with other hospitalized children is not scheduled. The child will be on contact isolation for a minimum of 1 week after the onset of jaundice. After that period, the child will be allowed to return to school.

[Pineapplelove6]

Thank you

[mcarey591]

Happy to help you