An infant with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?
a. Extracorporeal membrane oxygenation
b. Respiratory support with a ventilator
c. Insertion of a laryngoscope and suctioning of the trachea
d. Insertion of an endotracheal tube
ANS: A
Extracorporeal membrane oxygenation is a highly technical method that oxygenates the blood while bypassing the lungs, thus allowing the infant's lungs to rest and recover. The infant is likely to have been first connected to a ventilator. Laryngoscope insertion and tracheal suctioning are performed after birth before the infant takes the first breath.
An endotracheal tube will be in place to facilitate deep tracheal suctioning and ventilation.
You might also like to view...
The LPN is asked by a physician to administer a medication that can only be administered by an RN or a physician according to facility policy
The LPN explains why she cannot give the medication, but the physician keeps insisting the LPN should give the medication while the physician supervises. What is the best resource for the LPN to use to base decision-making? 1. The physician's order 2. The facility procedure manual 3. The encouragement of peers 4. A nursing instructor
The process of management for the nurse leader consists of the application of steps similar to those of the nursing process. Which of the following contains all the steps of the man-agement process?
1. At the end of the shift report, the team leader tells the staff that charting will be reviewed, medication Cardex checked, and patient rounds made a half-hour early today to obtain a more detailed patient profile of care provided during that shift. 2. The team leader has been unavoidably late, has missed most of the shift report, and grabs the staffing roster to make out patient assignments. The assignments are scheduled by alphabetical order by the geographic areas of the unit. No incidents appear to have occurred on the unit during the shift. 3. The nurse is perpetually late for duty and frequently leaves before the end of the shift report, asking others to help in completing the patient assignment. The team leader ignores this as long as patient care is completed. 4. The staff member is noted to leave some patients in strange positions on several occasions. On rounds, the team leader notices this and correctly repositions the patients. The team leader thinks that the staff could probably use some in-service training on proper positioning; however, she decides that there is no time to do this.
A nurse working with postpoliomyelitis patients knows that most of the patients:
1. had the initial infection in the 1940s and 1950s. 2. have muscle involvement only in muscle groups that were affected initially. 3. have few symptoms other than mild muscle and joint weakness and pain. 4. had a recurrence due to receiving an oral polio vaccine booster.
Considering the health-belief model, which statement suggests that the person is going to begin a new healthy habit?
a. "If I could be asleep while they did the colonoscopy, it might be alright." b. "I did have a cousin who was treated for breast cancer." c. "Both my mother and father died of heart problems." d. "Because my employer was paying for the health screening, I thought I might go."