Which is the priority nursing action when preparing a neonate born with a gastroschisis defect for transport to a pediatric hospital for corrective surgery?
1. Covering the exposed intestines with sterile moist gauze
2. Wrapping the newborn warmly in two or three blankets
3. Providing a sterile water feeding to maintain hydration during transport
4. Allowing the parents of the newborn to see their child prior to transport
1
Explanation:
1. It is important to keep the intestine from drying during transport.
2. Placement in a transport isolette would be preferred to wrapping due to the nature of the birth defect.
3. The newborn should be NPO.
4. While it is important for the parents to see their child before transport, this is not the priority nursing intervention.
You might also like to view...
The nurse is teaching a community education class on contraceptives. The nurse tells the class that if spermicides containing nonoxynol-9 are used, the patient should take special precautions, because these spermicides have been linked to
a. human papillomavirus (HPV) infections. b. spontaneous abortions. c. endometrial cancer. d. increased transmission of the human immunodeficiency virus (HIV).
A person whose husband is terminally ill says, "I don't want to cry in front of him. I don't want him to know how close he is to death or how sad I am." Which response by the nurse would be most therapeutic?
a. "You're right to protect him at a time when he is so vulnerable." b. "He might be more reassured than disturbed by your tears." c. "It's important for you to know that time is running out." d. "You definitely need to be honest about your feelings."
The mothers asks the nurse why her child's hemoglobin was normal at birth but now the child has S hemoglobin. Which of the following responses by the nurse is most appropriate?
A. "The placenta bars passage of the hemoglobin S from the mother to the fetus." B. "The red bone marrow does not begin to produce hemoglobin S until several months after birth." C. "Antibodies transmitted from you to the fetus provide the newborn with temporary immunity." D. "The newborn has a high concentration of fetal hemoglobin in the blood for some time after birth."
Mark is a 22-year-old college student who smokes. Mark attends one of his classes with Chad, a nursing student. One day on the way to class, Mark asked Chad if smoking really is related to lung cancer
Chad told Mark that the risk for lung cancer for smokers than for nonsmokers is _____ times greater. A. 2 B. 5 C. 10 D. 20