Ati paediatrics nursing assessment proctored exam
A nurse is caring for a 4-month-old infant who is immediately postoperative following cleft palate repair. Which of the following actions should the nurse take?
Explanation & Rationale
A. Give the infant liquids using a small spoon with a long handle: Post-op, feeding should avoid utensils or anything that could injure the surgical site. Specialized nipples are often used. B. Apply elbow restraints to the infant. Elbow restraints prevent the infant from touching or damaging the surgical site, promoting healing. C. Gently check the infant's suture line using a padded tongue depressor: Directly touching the suture line can damage the repair and should be avoided unless specifically ordered. D. Place the infant in a supine position: After cleft palate repair, positioning should promote airway protection (often side-lying or upright, not flat on the back).
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