A plan of care for an infant experiencing symptoms of drug withdrawal should include:
a. Administering chloral hydrate for sedation.
b. Feeding every 4 to 6 hours to allow extra rest.
c. Swaddling the infant snugly and holding the baby tightly.
d. Playing soft music during feeding.
ANS: C
The infant should be wrapped snugly to reduce self-stimulation behaviors and protect the skin from abrasions. Phenobarbital or diazepam may be administered to decrease central nervous system (CNS) irritability. The infant should be fed in small, frequent amounts and burped well to diminish aspiration and maintain hydration. The infant should not be stimulated (such as with music) because this will increase activity and potentially increase CNS irritability.
You might also like to view...
The first priority for the nurse caring for a patient with a history of falls is:
A) Placing the call light for easy access. B) Keeping the bed in the lowest possible position C) Instructing the patient not to get out of bed without assistance D) Keeping the bedpan available so the patient doesn't have to get out of bed
A patient with chronic obstructive pulmonary disease (COPD) has poor gas exchange. Which action by the nurse would be most appropriate?
a. Have the patient rest in bed with the head elevated to 15 to 20 degrees. b. Ask the patient to rest in bed in a high-Fowler's position with the knees flexed. c. Encourage the patient to sit up at the bedside in a chair and lean slightly forward. d. Place the patient in the Trendelenburg position with several pillows behind the head.
A nurse is designing and planning to implement a health promotion program in partnership with local faith communities. Which community planning guide would be helpful?
A) Creative Nursing Journal B) Faith Community Nursing: Developing a Quality Practice C) International Journal for Human Caring D) Journal of Holistic Nursing
The nurse is instructing a client on ostomy care. What should be included in this teaching?
1. Change the drainage pouch daily. 2. Clothing of a special style will be needed now that a pouch is worn. 3. Stick a pin into the drainage pouch to relieve any gas buildup. 4. Secure the faceplate to the drainage pouch so no skin around the stoma is exposed.