A newborn, premature twin exhibits respiratory distress with retractions, nasal flaring, cyanosis, grunting, and fine, scattered rales. What nursing interventions would you expect the physician to order?
1. Place an NG tube for feeds, monitor respiratory status on ventilator, record I& O's, start an IV, and send electrolyte panel to the laboratory and monitor temperatures
2. Cardio- respiratory monitoring, frequent suctioning on ventilator, and monitoring blood glucose level hourly
3. Placing infant in semi-fowler's position on affected side with head of the bed elevated, oxygen via nasal cannula, keeping NPO, and preparing parents for surgery
4. Giving surfactant intravenously within the first 12 hours of life and repeating every 12 hours for three days.
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1. Place an NG tube for feeds, monitor respiratory status on ventilator, record I& O's, start an IV, and send electrolyte panel to the lab and monitor temperatures
2. A ventilator is not needed at this time. Blood glucose should be monitored because it can cause an increase in respiratory distress.
3. Surgery is not indicated at this time.
4. The statement does not indicate the level of prematurity for the infant. Surfactant is not needed at this particular time.
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