A neonate is born with gastroschisis. The nurse should be the most concerned about which of the following when caring for the child?
1. Keeping the organs dry and warm
2. Assessing the organs to make sure that there is no vascular compromise
3. Starting oral feedings so that the stomach and intestines can start working
4. Maintaining an IV
2
Feedback
1. The organs should be kept warm and as moist as possible to prevent drying, cracking, and increasing the risk for infection.
2. Vascular compromise is of concern, so positioning will be important.
3. The child will remain NPO until the gut can be further examined.
4. Maintaining IV access is needed, but not the top priority at this time.
You might also like to view...
After teaching a client with a spinal cord tumor, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching? (Select all that apply.)
a. "Even though turning hurts, I will remind you to turn me every 2 hours." b. "Radiation therapy can shrink the tumor but also can cause more problems." c. "Surgery will be scheduled to remove the tumor and reverse my symptoms." d. "I put my affairs in order because this type of cancer is almost always fatal." e. "My family is moving my bedroom downstairs for when I am discharged home."
Which is a cause of fecal incontinence?
a. Chronic illness b. A high-fiber diet c. Increase in use of enemas d. Excessive exercise
A patient with a history of angina is admitted for outpatient cataract surgery. When asked, "What medication do you take for the angina?" she replies, "It is similar to nitroglycerin, and I take it under my tongue
See, I brought it with me." The nurse is not surprised to see a. isosorbide mononitrate (Imdur). b. amyl nitrite. c. nitroglycerin (Nitrostat). d. isosorbide (Isordil).
A staff nurse caring for a client with a head injury notes that the client is restless and pulling at the intravenous (IV) line. The client's physician does not want to prescribe sedation, and the family has requested that the client not be restrained. Which action by the nurse is appropriate?
A. Asking a family member to sit with the client B. Asking a nursing assistant to monitor the client C. Staying with the client and consulting with the nurse manager about the situation D. Telling the family that the application of wrist restraints is critical in preventing injury to the client