A nurse is developing a plan of care for a newborn with omphalocele. Which of the following would the nurse include?
A) Placing the newborn into a sterile drawstring bowel bag
B) Using clean technique for dressing changes
C) Preparing the newborn for incision and drainage
D) Instituting gavage feedings
A
Feedback:
An infant with an omphalocele is placed in a sterile drawstring bowel bag that maintains a sterile environment for the exposed contents, allows visualization, reduces heat and moisture loss, and allows heat from radiant warmers to reach the newborn. The newborn is placed feet-first into the bag and the drawstring is secured around the torso. Strict sterile technique is necessary to prevent contamination of the exposed abdominal contents.
An orogastric tube attached to low suction is used to prevent intestinal distention. IV therapy is administered to maintain fluid and electrolyte balance and provide a route for antibiotic therapy. Surgery is done to repair the defect, not incise and drain it.
You might also like to view...
The nurse is caring for a macrosomic newborn of a woman diagnosed with gestational diabetes immediately after birth. What assessment findings can the nurse anticipate? (Select all that apply.)
a. High blood glucose levels b. Weight of 9 pounds or more c. Decreased subcutaneous fat d. Hypocalcemia e. Hyperbilirubinemia
A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP)
Which manager statements would direct these nurses to the forms of strongest clinical evidence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "We may find studies that use only one group of subjects." 2. "Look for articles that report on how to use evidence in other clinical situations." 3. "The studies we want are built around the scientific approach to solving problems." 4. "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness." 5. "Many articles will have information reported by someone who is an expert in the field."
A person has a productive cough. Respiratory hygiene involves which of the following?
a. Covering the mouth and nose when coughing or sneezing b. Using bed linens to absorb respiratory se-cretions c. Disposing of tissues on the person's die-tary tray d. Washing hands at least once per day
The optimum goal of effective communication within the family, according to the nurse observ-ing the family members and their interaction, is:
1. Problem solving and psychological support 2. Role development of individual members 3. Socialization among individual members 4. Better financial conditions for the family