Which intervention should the nurse anticipate performing first after the birth of an infant with hypoplastic left heart syndrome?
A) Preparing the infant for surgery
B) Administering a prostaglandin infusion
C) Placing the infant on the transplant list
D) Preparing the parents for the death of the infant
B) Administering a prostaglandin infusion
Explanation: A) Surgery may be performed through several staged repairs, but immediately after birth, the priority action is to maintain a patent ductus arteriosus.
B) Infants who are born with hypoplastic left heart syndrome require the ductus arteriosus to remain patent. Treatment begins with a prostaglandin infusion to maintain the ductus arteriosus to allow for any oxygenated systemic blood flow. This infusion is necessary to provide oxygenated blood to flow to the body and should be started immediately.
C) Although staged surgical procedures improve the systemic perfusion, they are not curative, and these children will have lifelong complications and may require a heart transplant. Placing the infant on the heart transplant list will be done at the time the decision is made to pursue this course of treatment. It is not done immediately after birth.
D) The overall 5-year survivability after staged surgical repairs is approximately 70%.
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1. Pet therapy 2. Tai Chi exercises 3. Social support groups 4. Reality orientation
The parents of a hospitalized 2-year-old need to leave the unit for a couple of hours to get some sleep. The nurse should:
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A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
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To convert units in a proportion set up as ratios, you would
A. multiply numerators and multiply denominators and solve for the unknown. B. cross-multiply and solve for the unknown. C. multiply means and extremes and solve for the unknown. D. multiply means and divide extremes and solve for the unknown.