Which is the priority nursing action for a premature neonate who is experiencing apnea?
1. Administering oxygen
2. Performing back blows and chest thrusts
3. Calling a code blue
4. Providing stimulation by stroking the back
4
Explanation:
1. If the infant is not breathing, oxygen will not help.
2. This is intervention for choking, not apnea.
3. A code is not the initial response. If the nurse is unable to restart breathing, then a code should be initiated.
4. Tactile stimulation is often sufficient to restart the infant's respirations. Apnea of prematurity is due to immaturity of the respiratory center.
You might also like to view...
A nurse cares for a client who is experiencing status epilepticus. Which prescribed medication should the nurse prepare to administer?
a. Atenolol (Tenormin) b. Lorazepam (Ativan) c. Phenytoin (Dilantin) d. Lisinopril (Prinivil)
At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication. This is a skill that the students have not yet been exposed to yet
What should the instructor respond to the staff nurse that supports timing and learning environment? 1. "It will take me a moment to explain the procedure to the students because we've not practiced this, but I'll find somebody to administer it." 2. "Would it be OK if the students observed today? Then, we'll do it next time we're here." 3. "We're leaving now, but thanks for asking." 4. "I'll check with the students and see if one of them would like to volunteer."
When questioned about bruises, a woman states, "It was an accident. My husband just had a bad day at work. He's being so gentle now and even brought me flowers. He's going to get a new job, so it won't happen again"
This client is in which phase of the cycle of battering? A. Phase I: The tension-building phase B. Phase II: The acute battering incident phase C. Phase III: The honeymoon phase D. Phase IV: The resolution and reorganization phase
Which of the following procedures is a treatment method for acute iron toxicity?
A. Flushing the stomach with 5 to 10 grams of deferoxamine mesylate B. Eating a meal to help bind the iron and prevent it from being absorbed into the bloodstream C. Taking 200 mg of vitamin C orally within 10 minutes of the toxic dose D. None of the above