Difficulty: Medium
Average Score: 90%
Simulated
Passage / Scenario
An infant following surgical repair of omphaloceleA nurse is caring for an infant following surgical repair of omphalocele. What is the nurse's priority?
Correct answer
B
Rationale
The correct answer is B: Assess the surgical site for signs of infection. The priority is to monitor for any signs of infection post-surgery, as infection can lead to serious complications. Assessing the surgical site allows the nurse to identify any redness, swelling, discharge, or other signs of infection early on, enabling prompt intervention. Administering pain medication (A) is important but not the priority over monitoring for infection. Educating parents (C) and providing toys for play (D) are important aspects of care but do not take precedence over ensuring the surgical site is healing properly.