Which Interventions Should the Nurse Include in the Plan of Care

question 1

Multiple Choice

Which interventions should the nurse include in the plan of care for the infant awaiting surgical closure of a myelomeningocele sac?

• A) Open to air
• B) Covered with a sterile, moist, nonadherent dressing
• C) Reinforcement of the original dressing if drainage noted
• D) A diaper secured over the dressing

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Definitions:

Immediate Response

Refers to the instant reaction or reply to a stimulus or situation without delay.

Specific Threat

A clearly defined danger that is immediate, such as a direct threat to someone's safety.

Mindfulness-Based Cognitive Therapy

A therapeutic approach that combines mindfulness practices, such as meditation, with elements of cognitive therapy to help break the cycle of depression.

Rational-Emotive Therapy

A cognitive-behavioral therapy developed by Albert Ellis that helps clients identify and change the irrational assumptions and thinking that help cause their psychological disorder.