The condition of a low-birth-weight infant suddenly deteriorates with a subsequent decrease in oxygen saturation and hypotension. The anterior fontanel of the infant is bulging. The nurse is alerted to which complication?
a. Patent ductus arteriosus (PDA)
b. Intraventricular hemorrhage (IVH)
c. Bronchopulmonary dysplasia (BPD)
d. Periventricular leukomalacia (PVL)
B
When a low-birth-weight infant suddenly deteriorates with a subsequent decrease in oxygen saturation, hypotension, and a bulging anterior fontanel, this is indicative of intraventricular hemorrhage (IVH). Patent ductus arteriosus (PDA) is not usually a sudden deterioration of condition. Bronchopulmonary dysplasia (BPD) and Periventricular leukomalacia (PVL) do not usually manifest as a sudden deterioration.
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A critically ill patient who is intubated and agitated is restrained with soft wrist restraints. Based on research findings, what is the best nursing action?
A) Maintain the restraints to protect patient safety. B) Remove the restraints periodically to check skin integrity. C) Remove the restraints periodically for range of motion. D) Assess and intervene for causes of agitation.
The nurse is teaching a patient about the loss of potassium when taking diuretics. The physician started this patient on spironolactone (Aldactone). What is special about this diuretic?
1. It blocks active transport of sodium and potassium excretion. 2. It is used when there is high renal filtration. 3. It affects the exchange of sodium and potassium excretion. 4. It gives a peak effect in diuretic use.
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?
A) Sperm emission B) Penile vasodilation C) Psychological release D) Ejaculation
Which is a technique helpful in maintaining treatment fidelity in an exercise plan for clients with joint replacement?
A) A plan that allows some variation in doing the prescribed exercises B) Asking the participants if they liked doing the exercises C) Allowing staff nurses to monitor calendars used to document adherence to the exercises D) Providing a detailed training manual that illustrates the exercises