A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents?
1. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide.".
2. "The drug keeps your baby from requiring too much sedation.".
3. "Surfactant is used to reduce episodes of periodic apnea.".
4. "Your baby needs this medication to fight a possible respiratory tract infection.".
1
1. Correct. Surfactant can be administered as an adjunct to oxygen and ventilation therapy. With administration of artificial surfactant, respiratory compliance is improved until the in-fant can generate enough surfactant on his/her own.
2. Incorrect. Surfactant has no bearing on the sedation needs of the infant.
3. Incorrect. Surfactant is used to improve respiratory compliance, including the exchange of oxygen and carbon dioxide. The goal of surfactant therapy in an infant with RDS is to stimulate production of surfactant in the type 2 cells of the alveoli.
4. Incorrect. The clinical presentation of RDS and neonatal pneumonia may be similar. The infant may be started on broad-spectrum antibiotics to treat infection.
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a. Maintain the safety of adaptive devices by monitoring their function and making repairs. b. Coordinate rehabilitation team activities to ensure implementation of the plan of care. c. Assist clients to identify support services and resources for the coordination of services. d. Counsel clients and family members on strategies to cope with disability. e. Support the client's choices by acting as an advocate for the client and family.
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A) "Medications are usually reserved for people who have had unsuccessful bariatric surgery." B) "Medications may be of some use, but they don't tend to resolve obesity on their own." C) "Medications are an excellent option for individuals who prefer not to exercise or reduce their food intake." D) "Medications have the potential to reduce hunger but they rarely result in weight loss."
A young female patient has just been diagnosed with a trichomoniasis infection. The nurse would expect which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Greenish-yellow vaginal discharge 2. Smooth lesions on labia majora 3. Itching and irritation of the genitalia 4. Dysuria 5. fever