A newborn has several congenital anomalies incompatible with living beyond 1 month. The newborn cannot retain formula, and the temperature drops when the newborn is removed from the warmer
Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. What is the origin of the conflict described? a. Ethical values c. Personal goals for advancement
b. Nursing role con-cerns d. Personality differ-ences
A
This situation depicts personal issues based on two separate sets of ethics or values regarding the newborn's care. One nurse places value on nutritional needs and the other on the need for bond-ing. This conflict is not personality driven among the two nurses. The role of the nurse is to care for the newborn. They both want to care for the newborn, so they are meeting their nursing role; however, the conflict is based on an ethical issue about feeding and bonding.
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The nurse is performing a respiratory assessment of a patient who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
A) An appropriate perfusion–diffusion ratio B) An adequate ventilation–perfusion ratio C) Adequate diffusion of gas in shunted blood D) Appropriate blood nitrogen concentration
The nurse instructs an anxious mother of a child with Rocky Mountain spotted fever that the disease is:
a. extremely contagious among humans. b. contracted from handling unvaccinated animals. c. a hemolytic B Streptococcus infection spread by droplet transmission. d. a serious disease contracted from the bite of a tick.
The only regulatory agency that directly oversees the safety and health of health care workers is:
a. The Joint Commission (TJC). b. the Department of Public Health (DPH). c. OSHA. d. NIOSH.
When providing care for a postoperative patient, it is important for the nurse to include which postoperative exercise?
a. Turning every 4 hours b. Completing leg exercises once daily c. Repeating individual leg exercises 20 times d. Performing exercises with the unaffected extremities