Exam (elaborations)
Case Study Cleft: Cleft Lip/Palate
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Case Study Cleft: Cleft Lip/Palate Case Study Cleft: Cleft Lip/Palate Case Study Cleft: Cleft Lip/Palate
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Case Study Cleft: Cleft Lip/Palate1 of 6
Select the four items that the nurse will need to collect before the scheduled surgery.
Current known health status
Gross motor milestones
Current method of feeding
Immunization status
Caregiver's employment status
Informed consent forms - Current known health status
Current method of feeding
Immunization status
Informed consent forms
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t is important to determine the current health status so that problems can be anticipated during and
after surgery.
Determining any signs or symptoms of illness or medical problems is important before performing
surgery.
Current diet, feeding style, and devices should be assessed. In addition, allergies and current
immunization status should be documented.
Informed consent forms need to be readily available in the chart so that the caregivers can sign them
after the procedure has been thoroughly explained by the surgeon.
, The caregiver's employment status and attainment of gross motor milestones are not necessary
information for preoperative health status.
2 of 6
For each preoperative nursing action below, click to specify if the action is consistent with the
preoperative assessment for cleft lip/cleft palate repair. Select only one answer for each row.
Indicated Nonessential Contraindicated
Assess ability to suck
Feed the infant immediately before surgery
Inspect the lip and palate using an ungloved finger
Obtain baseline weight
Obtain blood sample for laboratory tests
Obtain stool sample for fat content - Indicated
Assess ability to suck
Obtain baseline weight
Obtain blood sample for laboratory tests
Nonessential
Obtain stool sample for fat content
Contraindicated
Feed the infant immediately before surgery
Inspect the lip and palate using an ungloved finger
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The healthcare provider may order additional lab tests prior to the surgery.
A stool sample is not indicated and is nonessential for this type of surgical repair.
Preoperative nursing actions that the nurse should perform for cleft lip/cleft palate repair include:
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