In the continuing assessment of a preterm infant, the nurse notices continued respiratory distress even though oxygen and ventilation have been provided. The nurse should suspect:
1. hypovolemia and/or shock.
2. a nonneutral thermal environment.
3. central nervous system injury.
4. pending renal failure.
1
1. Correct. Other symptoms might include hypotension, prolonged capillary refill, and tachycar-dia followed by bradycardia. Intervention is necessary.
2, 3, 4. Incorrect. This is symptomatic of cardiac problems, particularly hypovolemia and/or shock. The nurse must be prepared to intervene.
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The nurse is caring for a patient who has a closed reduction of the ulna with a cast applied. Later the patient reports left arm pain. What should the nurse do?
a. Administer an analgesic as ordered. b. Perform neurovascular check on fingers. c. Notify the physician immediately. d. Pad the edges of the cast.
The nurse is teaching an older adult about the numerous medications the client must take. The client has cataracts and has difficulty seeing. What modifications in the teaching plan would be appropriate because of the client's visual impairment?
a. Use repetition. c. Speak loudly and slowly. b. Use simple terms. d. Use large print materials.
The alarm reaction stage, resistance stage, and exhaustion stage are the three stages of the:
1. local adaptation syndrome. 2. general adaptation syndrome. 3. total adaptation syndrome. 4. absolute adaptation syndrome.
The nurse is preparing an educational program on bacterial meningitis for a group of community members. Which groups should the nurse identify as being at greatest risk for this infection?
Select all that apply. 1. older adults 2. pregnant women 3. military recruits 4. college students 5. low-income individuals