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Exam (elaborations)

Sherpath: HEENT Conditions Questions and Answers 100% Pass

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Sherpath: HEENT Conditions Questions and Answers 100% Pass The nurse notices edema on the head of the newborn. What initial action should the nurse take? The nurse should educate the parents on the cause of the issue to eliminate fear. The nurse should palpate the head closely to see if the edema crosses the suture lines. The nurse should assess the child for jaundice because of the breakdown of the red blood cells. The nurse should discuss the need of the infant to be placed on the abdomen several times a day. - Answer- The nurse should palpate the head closely to see if the edema crosses the suture lines. The nurse can determine if the edema is from caput succedaneum if it crosses the suture line or from cephalhematoma if it does not cross the suture lines. The nurse is teaching the parents of a newborn about massaging a blocked lacrimal duct. What information should the nurse include? Select all that apply. Crusting of the eye can be removed with a warm, damp cloth. Any drainage that is seen when massaging should be yellow or green. Hands should be washed thoroughly before performing the massage. Massage the lacrimal duct down the side of the nasal bone to properly ensure drainage. Place the index finger over the lacrimal duct and milk the duct in an upward motion. - Answer- Hands should be washed thoroughly before performing the massage. Washing hands before touching the infant's eyes can help prevent the introduction of infection. Place the index finger over the lacrimal duct and milk the duct in an upward motion. Placing the index finger over the lacrimal duct is the correct procedure for massaging a lacrimal duct and provides milking and opening of the duct. What is the primary rationale for the nurse encouraging parents to quickly soothe a child who is recovering from eye surgery? Crying can increase intraocular pressure and damage the eye. Children are uncomfortable after eye surgery and need frequent reassurance. Patching of the eye can be scary and cause frustration in the child. Being upset after surgery can delay the healing and promote infection. - Answer- Crying can increase intraocular pressure and damage the eye. The nurse needs to assess and try to prevent any increase in intraocular pressure to prevent damage to the eye. Which patient scenario reflects the appropriate nurse-patient interaction for communicating effectively with a child with hearing loss? Select all that apply. ELIMINATE background NOISE. LOOK DIRECTLY into the child's face. Speak CLEARLY and slightly SLOWER than usual. Speak louder to the child to enhance hearing. Have the child's COMPLETE ATTENTION before beginning to speak. - Answer- Eliminate background noise.

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