Which intervention should be included in the plan of care for an infant with the nursing diagnosis Fluid volume excess related to congestive heart failure?
a. Weigh the infant every day on the same scale at the same time.
b. Notify the physician when weight gain ex-ceeds more than 20 g/day.
c. Put the infant in a car seat to minimize movement.
d. Administer digoxin (Lanoxin) as ordered by the physician.
A
Excess fluid volume may not be overtly visible. Weight changes may indicate fluid retention. Weighing the infant on the same scale at the same time each day ensures consistency. An excessive weight gain for an infant is an increase of more than 50 g/day. With fluid volume excess, skin will be edematous. The infant's position should be changed frequently to prevent undesirable pooling of fluid in certain areas. Lanoxin is used in the treatment of congestive heart failure to improve cardiac function. Diuretics will help the body get rid of excess fluid.
You might also like to view...
Why do nurse managers have an ongoing need to be aware of legislation affecting nursing practice?
A) This will prevent them from getting sued. B) Laws are fluid and subject to change. C) It will protect the agency from a lawsuit. D) It will ensure that correct procedure is carried out.
Two nurses approach their manager about a conflict regarding the next month's schedule. The nurses are talking loudly and at the same time. The manager most effectively uses communication skills to resolve the conflict by:
a. Taking both nurses aside, separately and then together, and charging them with re-solving the problem without her direct intervention. b. Listening to each nurse speak to the other without interruption and asking clarifying questions to help them resolve the issue themselves. c. Separating the nurses, instructing each to decide how the problem can be resolved, and meeting with them the next day. d. Calling an emergency scheduling com-mittee meeting and asking volunteers to resolve the conflict between the two nurses.
One worker in the surgical center is found to be culture-positive for streptococcal microor-ganisms in his nasal mucosa but has no symptoms of infection. What is this person's status in the chain of infection?
A. Reservoir B. Portal of entry C. Portal of exit D. Susceptible host
A population needs assessment has been completed. Which of the following describes what was done?
a. A health status report indicates many peo-ple are not using the health department because of long waits. b. The World Health Organization (WHO) encourages all travelers to be up to date on the immunizations when traveling abroad. c. A nurse assesses the health status of older adults with diabetes prior to initiation of a health education program. d. An agency uses a television advertisement to encourage healthy eating by the citizens in the community.