A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
1. Placing the newborn on a radiant warmer
2. Placing the newborn in an open crib
3. Preparing the newborn for phototherapy
4. Preparing the newborn for a bottlefeeding
1
Explanation:
1. Omphalocele is a congenital malformation in which intra-abdominal contents herniate through the umbilical cord. The newborn loses heat through the viscera; a warmer is indicated to prevent hypothermia.
2. The crib would not provide adequate maintenance of temperature control.
3. Phototherapy is used to treat hyperbilirubinemia, not an omphalocele defect.
4. The newborn will require surgical correction of the defect prior to initiating bottle or breast feeding.
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What action by the nurse is best? a. Contact the social worker to assist the client with advance directives. b. Ignore the mother; the client does not want her to be involved. c. Let the client know, gently, that nurses cannot be involved in these disputes. d. Tell the client that, legally, the mother is the emergency contact.
The nurse is providing nutrition education to a Korean patient using the five food groups. In doing so, what should be the focus of the teaching?
a. Discouraging the patient's ethnic food choices b. Changing the patient's diet to a more conventional American diet c. Including racial and ethnic practices with food preferences of the patient d. Comparing the patient's ethnic preferences with American dietary choices
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A nurse is providing anticipatory guidance to parents about the self-perceptionself-concept pattern of a toddler. Which of the following statements would the nurse most likely make?
a. Temper tantrums are expected, so always give in to them. b. Put your toddler in time out if he has a temper tantrum. c. Childproof your home. d. Always provide your toddler with challenging toys.