Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement.What interventions should the nurse expect during post op care?
Correct answer
A
Rationale
Correct Answer: A. Do not touch stent or dressings.
Rationale: Touching stent or dressings can introduce infection, disrupt wound healing, and lead to complications post-op. It is crucial to maintain asepsis and prevent contamination. Stent and dressings are placed for specific reasons, and any interference can jeopardize the patient's recovery. Following this intervention ensures optimal healing and reduces the risk of infection.
Summary of other choices:
B: Giving a tub bath after 48 hours may not be appropriate as it can disrupt the wound and increase the risk of infection.
C: Maintaining fluid restriction may or may not be necessary depending on the patient's condition; it is not a universal intervention.
D: Giving anticholinergic medication is not typically a standard intervention during post-op care unless specifically prescribed for a certain condition.
Rationale: Touching stent or dressings can introduce infection, disrupt wound healing, and lead to complications post-op. It is crucial to maintain asepsis and prevent contamination. Stent and dressings are placed for specific reasons, and any interference can jeopardize the patient's recovery. Following this intervention ensures optimal healing and reduces the risk of infection.
Summary of other choices:
B: Giving a tub bath after 48 hours may not be appropriate as it can disrupt the wound and increase the risk of infection.
C: Maintaining fluid restriction may or may not be necessary depending on the patient's condition; it is not a universal intervention.
D: Giving anticholinergic medication is not typically a standard intervention during post-op care unless specifically prescribed for a certain condition.