Difficulty: Medium
Average Score: 94%
Simulated
Passage / Scenario
A nurse is teaching a parent of a 4-month-old infant who has developmental dysplasia of the hip and is prescribed a Pavlik harness.Which of the following instructions on the use of a Pavlik harness should the nurse include in the teaching?
Correct answer
D
Rationale
The correct answer is D: Place the diaper under the straps. Placing the diaper under the straps helps prevent skin irritation and chafing by creating a barrier between the straps and the baby's skin. This instruction promotes skin integrity and comfort for the infant.
Explanation for why the other choices are incorrect:
A: Avoid massaging the skin under the straps - Massaging the skin under the straps could cause discomfort and potentially disrupt the proper positioning of the harness.
B: Use lotion on the skin under the harness - Lotions can interfere with the harness's effectiveness and may cause slippage. It is best to avoid using lotions under the harness.
C: Adjust the harness straps weekly - The straps of the Pavlik harness need to be regularly adjusted as per the healthcare provider's instructions, not necessarily weekly.
Overall, choice D is the correct instruction for ensuring the safety and comfort of the infant while using the Pavlik harness.
Explanation for why the other choices are incorrect:
A: Avoid massaging the skin under the straps - Massaging the skin under the straps could cause discomfort and potentially disrupt the proper positioning of the harness.
B: Use lotion on the skin under the harness - Lotions can interfere with the harness's effectiveness and may cause slippage. It is best to avoid using lotions under the harness.
C: Adjust the harness straps weekly - The straps of the Pavlik harness need to be regularly adjusted as per the healthcare provider's instructions, not necessarily weekly.
Overall, choice D is the correct instruction for ensuring the safety and comfort of the infant while using the Pavlik harness.