ATI LPN Paediatrics Nursing Cohort 65 Proctored Exam
A nurse is caring for an infant who has spina bifida.Which of the following actions should the nurse take?
Explanation & Rationale
Choice A rationalePerforming ROM exercises can cause stress on the infant's developing bones and muscles and is not the priority for spina bifida.Choice B rationaleFeeding through an NG tube is not necessary unless the infant has feeding difficulties related to spina bifida.Choice C rationalePlacing the infant in a prone position prevents pressure on the lesion, reducing the risk of injury and infection.Choice D rationaleCovering the lesion with a dry cloth can cause the area to dry out and is not recommended; sterile, moist dressings are preferred.
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