Difficulty: Medium
Average Score: 76%
Simulated
Passage / Scenario
A 2-month-old infant who is postoperative following repair of a cleft lip and palateA nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?
Correct answer
B
Rationale
The correct answer is B: Elbow restraints. Elbow restraints are commonly used in postoperative care for infants to prevent them from touching or disrupting the surgical site. This type of restraint allows for some movement and flexibility while still restricting the infant's ability to reach the surgical area. Elbow restraints are considered safe and effective for infants following cleft lip and palate repair surgery.
A: Mummy restraints involve wrapping the entire body tightly, which can be too restrictive and uncomfortable for the infant.
C: Jacket restraints cover the chest and arms, but they may not provide enough immobilization for the specific needs of a postoperative cleft lip and palate repair.
D: Wrist restraints may not be effective as they do not prevent the infant from reaching the surgical site.
Overall, elbow restraints are the most appropriate choice as they balance the need for restriction with the infant's comfort and safety.
A: Mummy restraints involve wrapping the entire body tightly, which can be too restrictive and uncomfortable for the infant.
C: Jacket restraints cover the chest and arms, but they may not provide enough immobilization for the specific needs of a postoperative cleft lip and palate repair.
D: Wrist restraints may not be effective as they do not prevent the infant from reaching the surgical site.
Overall, elbow restraints are the most appropriate choice as they balance the need for restriction with the infant's comfort and safety.