A client in labor is found to have meconium-stained amniotic fluid upon rupture of membranes. At delivery, the nurse finds the infant to have depressed respirations and a heart rate of 80. What does the nurse anticipate?
1. Delivery of the neonate on its side with head up, to facilitate drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand the lungs.
4. Suctioning of the oropharynx when the newborn's head is delivered.
2
Explanation: 2. If the infant has absent or depressed respirations, heart rate less than 100 beats/min, or poor muscle tone, direct tracheal suctioning by specially trained personnel is recommended.
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A home health nurse notes that there have been changes to a patient's oral drug regimen. The nurse will closely monitor the new drug regimen to
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One of the nurse's older adult patients is abusing laxatives. Which would be an appropriate intervention for this patient to help reduce this chronic laxative use and dependency?
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The nurse is concerned that a patient is at increased risk of developing a pulmonary embolus and develops a plan of care for prevention to include which of the following?
a. Antiseptic oral care b. Bed rest with head of bed elevated c. Coughing and deep breathing d. Mobility
A patient arrives to receive a second round of combination chemotherapy. What is the most important patient assessment finding to report to the prescriber?
a. Height b. Weight c. Blood pressure d. Pulse rate and rhythm