A nurse is caring for a preterm infant that has been diagnosed with an infection. The nurse understands that:
a. The special precautions taken for all newborns are sufficient to care for this baby
b. Neonates with sepsis are placed in an isolette to prevent infection spreading to the other neonates
c. Spread of infection is not a problem because of the presence of maternal antibodies
d. The site of infection will be obvious owing to specific signs and symptoms
B
A preterm infant is at higher risk, and the normal precautions for all newborns are not sufficient. Neonates with an infection are placed in an isolette to prevent the spread of infection. Maternal antibodies cannot be relied on to combat all infections. The site of infection may not be obvious.
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A good nursing decision maker is one who:
a. Uses various models to guide the process based on the circumstances of the situation. b. Adopts one model and uses it to guide all decision making. c. Decides not to use any models because they are all useless. d. Develops a new model each time a decision has to be made.
A client is experiencing dyspnea because of fluid volume excess. In which position should the nurse place this client?
1. Prone, with his head to one side 2. Dorsal recumbent with his legs elevated 3. In reverse Trendelenburg 4. In high Fowler's
A patient who is receiving continuous enteral feedings has just vomited 250 mL of milky green fluid. This is a concern because this most likely demonstrates that the patient has:
a. a bowel obstruction. b. developed an ileus. c. gastrointestinal bleeding. d. tube feeding intolerance.
What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Maintain the child NPO (nothing by mouth). b. Turn the child frequently. c. Restrict fluids. d. Encourage fluids.