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    Ati rn pediatric nursing 2023 proctored exam

    A nurse is caring for a toddler who had a cleft lip and palate repair and is trying to touch the incision site. Which of the following provider prescriptions is recommended for the toddler?

    Explanation & Rationale

    A. Place the child in a mummy restraint: A mummy restraint is typically used for short procedures, such as IV insertions or blood draws. It is not appropriate for continuous use after surgery, as it can restrict movement excessively and cause distress. B. Swaddle the toddler in a blanket: Swaddling may be effective for infants, but toddlers are too mobile and strong to be safely contained in a blanket. It would not reliably prevent the child from touching the surgical site. C. Place the toddler in bilateral elbow restraints: Elbow restraints prevent the toddler from bending their arms and reaching the incision site while still allowing mobility of the hands and legs. This method is commonly prescribed after cleft lip and palate repair to protect the surgical area. D. Obtain a prescription for lorazepam: Sedation is not routinely used to prevent a child from touching surgical sites, as it carries unnecessary risks. Non-pharmacological measures like restraints are safer and more effective for protecting the incision.

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