question | A nurse is contributing to the plan of care for a 2month old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the clients plan of care?

A nurse is contributing to the plan of care for a 2month old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the clients plan of care?

		Feed the infant half strength formula for the first 48 hr. (NPO, start with clear liquids not half strength formula)
		Remove elbow restraints while the infant is sleeping (do not remove the restraint unattended because when they sleep they can still touch the operative site, u can remove it for a short period of time to just monitor)
		Keep the infant in a side lying position
		Administer pain medication PRN for the first 48 hr. (it should not be PRN it should be scheduled)