Difficulty: Medium
Average Score: 63%
Simulated
Passage / Scenario
A 10-month-old infant who is 8 hours postoperative following cleft palate repairA nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?
Correct answer
A
Rationale
The correct answer is A: Apply and release elbow restraints every hour. This intervention helps prevent the infant from touching or injuring the surgical site, promoting healing. Keeping the infant supine (B) is not specific to cleft palate repair. Feeding with a spoon for 48 hours (C) is not recommended postoperatively. Suctioning the mouth with an oral suction tube (D) can increase the risk of infection and disrupt healing.