Ati nur235 paediatrics final proctored exam
A nurse is caring for an infant in the post-anesthesia care unit following cleft lip and palate repair. What is an appropriate action for the nurse to take?
Explanation & Rationale
A. Offering a pacifier is contraindicated after cleft lip and palate repair as it can disrupt the surgical site and interfere with healing. B. Maintaining elbow restraints prevents the infant from touching or putting objects in their mouth, which could disrupt the surgical site and compromise healing. C. The Trendelenburg position is not recommended as it can increase pressure on the surgical site and compromise breathing. D. An ice collar may be used for pain relief in older children or adults but is not typically used in infants, and it may not be feasible in this population.
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