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CCRN Critical Care Nursing

Category - Neonatal

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A nurse is caring for a newborn infant with spina bifida (meningomyelocele type) who is scheduled for surgical closure of the sac. In the preoperative period, the priority nursing action would be to monitor the:

Blood pressure
Moisture of the normal saline dressing covering the sac
Specific gravity of the urine
Anterior fontanel for depression

Explanation

Answer: A- Sterile normal saline dressing is placed over the sac to maintain moisture of the sac and its contents and to prevent tearing or breakdown of the skin integrity at the site.

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CCRN Critical Care Nursing

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CCRN Critical Care Nursing

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