NUR 425 - Week 2 Test Questions and Correct Answers
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Course
NUR 425
Institution
NUR 425
A 2-month-old with a cleft lip is transferred to the pediatric floor immediately following surgical repair of the defect. Which of the following interventions should the nurse perform?
a. Assess placement of the elbow restraints
b. Assess placement of the gastrostomy tube
c.Monitor the infant fo...
a 2 month old with a cleft lip is transferred to t
d monitor the infant for passage of tarry stools
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NUR 425 - Week 2 Test Questions and
Correct Answers
A 2-month-old with a cleft lip is transferred to the pediatric floor immediately following
surgical repair of the defect. Which of the following interventions should the nurse
perform?
a. Assess placement of the elbow restraints
b. Assess placement of the gastrostomy tube
c.Monitor the infant for signs of hypokalemia
d. Monitor the infant for passage of tarry stools ✅a. Assess placement of the elbow
restraints
During the first few days after surgery for cleft lip, which intervention should the nurse
do?
a. Leave infant in crib at all times to prevent suture strain.
b. Keep infant heavily sedated to prevent suture strain
c. Remove restraints periodically to cuddle infant
d. Alternate position from prone to side-lying to prone ✅c. Remove restraints
periodically to cuddle infant
The nurse is asked by an adult with a history of a cleft palate asks as to why their voice
sounds nasally. Which of the following is the correct response?
a. "Your hard palate is to short to contact the back of your throat."
b. "Your soft palate cannot close off your nose from your mouth."
c. "Hearing loss has affected how you hear and reproduce sounds."
"d. Your nasal passages have not formed correctly due to the defect." ✅b. "Your soft
palate cannot close off your nose from your mouth."
Which of the following is an appropriate assessment tool for delirium in the ICU?
a. Ramsey Scale
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