A premature infant has not had a bowel movement, and the nurse assesses abdominal distention after the last feeding. What action by the nurse takes priority?
A.
Document the findings in the chart.
B.
Facilitate a bowel x-ray.
C.
Notify the health-care provider.
D.
Place the infant on NPO status.
ANS: D
This baby has signs of necrotizing enterocolitis (NEC). When the nurse suspects this condition, the priority action is to stop all oral feedings. The other actions are appropriate, but do not take priority over placing the infant on NPO status.
You might also like to view...
The nurse is assisting with endotracheal intubation. In what circumstance would the nurse question the use of nasotracheal intubation?
A) Confused patient B) Fractured mandible C) Acute sinusitis D) Possible cervical spine fracture
Emerging and reemerging infectious diseases are becoming a concern today. Some of these are malaria, TB, and influenza
Emerging infectious diseases are new infections from different microorganisms such as the bird flu, Lyme disease, Ebola hemorrhagic fever, and hantavirus. a. What do you see as the reasons or causes of these new microorganisms and the reemergence of the older microorganisms? b. What are the six parts of the chain of infection?
The nurse understands that an alteration in growth hormone can lead to changes in an individual's physical stature. Which finding would cause the nurse to assess for high levels of growth hormone?
1. Acromegaly 2. Dwarfism 3. Hirsutism 4. Gynecomastia
Which of the following are not indicators of alcohol abuse? (Select all that apply.)
A. Craves alcohol B. Drinks one 12-oz beer each day C. Fails to fix meals at home D. Frequent sick days at work E. Grades at school drop F. Loss of controlG. Physical dependence