A newborn with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which of the following would the nurse anticipate for this newborn?
A) Extracorporeal membrane oxygenation (ECMO)
B) Respiratory support with ventilator
C) Insertion of laryngoscope for deep suctioning
D) Replacement of endotracheal tube via x-ray
A
Response:
If conventional measures are ineffective, then the nurse would need to prepare the newborn for ECMO. Hyperoxygenation, ventilatory support, and suctioning are typically used initially to promote tissue perfusion. If these are ineffective, then ECMO would be the next step.
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A mental health nurse works in a community-based medication clinic that serves a culturally diverse patient population. Which way of sitting during an interview is most neutral and acceptable to people of a variety of cultures?
a. Legs crossed, leaning slightly backward in chair with one arm extended on the desk b. Feet on the floor and upper body leaning slightly forward toward patient c. One leg crossed and the upper body turned slightly away from patient d. Feet on the floor and arms crossed over chest
The nurse is caring for a 5-year-old boy who is terminally ill. Which intervention would best meet the needs of this dying child?
A) Offer the child decision-making opportunities. B) Provide the child with specific details. C) Assure the child that he did nothing wrong. D) Act as confidant for the child's concerns.
A dying patient confides to the nursing assistant that she "just can't face another day." The best response would be,
A) "Cheer up; the sun is out today." B) "You said that yesterday, and you're still here." C) "Would you like to tell me about it?" D) "What would you like for breakfast?"
The nurse needs to help set goals and outcomes with a client who is experiencing difficulty keeping up with everyday tasks. Which of the following would be an appropriate SMART outcome?
A) The client will independently prepare daily schedules, including tasks and appointments, after 1 month. B) The client will organize and list responsibilities of home, work, school, and children. C) The client will prepare general schedules based on priorities and responsibilities. D) The client will prepare individual daily schedules with daily tasks and appointments.