ATI LPN Paediatrics Nursing Cohort 65 Proctored Exam
A nurse is assisting with the care of an infant who has myelomeningocele.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationaleApplying a sterile, moist dressing on the sac helps prevent infection and keeps the tissue moist, promoting healing.Choice B rationaleMonitoring the infant's temperature rectally can increase the risk of infection and is not recommended.Choice C rationaleEncouraging the guardian to cuddle with the infant is important for bonding but doesn't directly address the care of myelomeningocele.Choice D rationaleMaintaining the infant in a supine position can put pressure on the sac, increasing the risk of rupture and infection.
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