When assessing a newborn with infant respiratory distress syndrome, who is receiving surfactant therapy, which finding should alert the nurse of a complication of this medication?

A) Pulmonary edema
B) Development of a new heart murmur
C) Bleeding into the lungs
D) Decreased urinary output


C) Bleeding into the lungs

Explanation: A) Surfactant therapy and mechanical ventilation with continuous positive airway pressure (CPAP) are a mainstay of treatment of IRDS since the 1990s. Typically, the newborn in distress breathes more easily within hours of surfactant therapy. Although there is a risk of bleeding into the lungs from surfactant replacement, complications are less likely and morbidity rates are much lower for newborns who receive timely therapy.
B) Surfactant therapy and mechanical ventilation with continuous positive airway pressure (CPAP) are a mainstay of treatment of IRDS since the 1990s. Typically, the newborn in distress breathes more easily within hours of surfactant therapy. Although there is a risk of bleeding into the lungs from surfactant replacement, complications are less likely and morbidity rates are much lower for newborns who receive timely therapy.
C) Surfactant therapy and mechanical ventilation with continuous positive airway pressure (CPAP) are a mainstay of treatment of IRDS since the 1990s. Typically, the newborn in distress breathes more easily within hours of surfactant therapy. Although there is a risk of bleeding into the lungs from surfactant replacement, complications are less likely and morbidity rates are much lower for newborns who receive timely therapy.
D) Surfactant therapy and mechanical ventilation with continuous positive airway pressure (CPAP) are a mainstay of treatment of IRDS since the 1990s. Typically, the newborn in distress breathes more easily within hours of surfactant therapy. Although there is a risk of bleeding into the lungs from surfactant replacement, complications are less likely and morbidity rates are much lower for newborns who receive timely therapy.

Nursing

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