An infant born via cesarean section because of a breech presentation is diagnosed with bilateral congenital hip dysplasia. The primary nursing intervention directed toward this diagnosis is:
1. Assessing the infant frequently to determine abduction of the thighs
2. Maintaining the infant in the position of continuous abduction of both hips
3. Educating the parents about the importance of positioning the infant so that the head of the femurs are in alignment with the hip sockets
4. Providing pain management so that the infant is comfortable in the therapeutic position required
ANS: 2
Maintenance of continuous abduction of the thigh so that the head of the femur presses into the center of the acetabulum is critical in the care and treatment of this infant. Although the other options are appropriate, they are not primary interventions in this scenario.
You might also like to view...
A mother brings her child to the clinic requesting a selective serotonin reuptake inhibitor (SSRI) to help treat her daughter's posttraumatic stress disorder (PTSD). Which rationale will the nurse use when responding to the child's mother?
A. Children have too many side effects from SSRIs. B. Research shows that treating specific symptoms is better. C. SSRIs have a long history of successful use in PTSD. D. This classification of drugs has rarely been used in PTSD.
During a follow-up visit with a patient recently started on Coumadin, the home health nurse is concerned after seeing an herbal remedy that enhances the effect of anticoagulants by the patient's bedside. What is this herbal remedy?
a. Cayenne b. Aloe vera c. Asian ginseng d. Kava
What are duties of a team leader? (Select all that apply.)
a. Receiving reports on assigned patients b. Making patient assignments for team members c. Assessing all assigned patients d. Assisting with medication administration e. Conferring with team members
The nurse is assisting with a transabdominal ultrasound procedure to determine fetal age. The nurse should:
A. Ask the woman to sign an operative consent form prior to the procedure. B. Have the woman empty her bladder before the test begins. C. Assist the woman into a supine position on the examining table. D. Instruct the woman to not eat two hours before the scheduled test time.