Nursing care of the infant prior to surgical closure of a meningomyelocele would include:
Answer(s): B
(A) A dry, sterile dressing would adhere to the sac, causing tissue damage. (B) A saline-soaked sterile dressing protects the sac from contamination by air and prevents drying. (C) A sac open to air causes drying and potential for contamination. (D) This intervention is not an independent nursing action.
A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of physician?
Answer(s): C
(A) Normal pH of arterial blood gases for an infant is 7.357.45. (B) Normal white blood cell count in an infant is 6,00017,500 WBCs/mm3. (C) Normal hematocrit in infant is 28%42%. A 60% hematocrit may indicate polycythemia, a common complication of cyanotic heart disease. (D) Normal bleeding time is 27 minutes.
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