The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn't seem very ill. The nurse's best response would be:
1. "A newborn's immune system isn't mature, so symptoms are vague."
2. "You would have seen more symptoms if you were looking closely."
3. "A fever will be present in sick newborns, including your baby."
4. "A mother's immunity usually protects the infant from illness."
1
Rationale:
1. Newborns have vague and nonspecific symptoms of illness because of their immature immune system and limited inflammatory response.
2. This is an inappropriate response that does not help to educate the parents about their newborn's reactions to illness.
3. Hypothermia is more common in sick infants than is hyperthermia.
4. Maternal immune globulin crosses the placenta and gives the newborn a limited acquired immunity to many illnesses, but will not prevent all illness from developing.
You might also like to view...
From the following profiles of clients, which client would be most likely to undergo the diagnostic test of cholecystography?
A) Steven, suspected of a tumor in the colon B) Andrew, suspected of abnormalities in the esophagus C) Mark, suspected of stones in the gallbladder D) Sandra, suspected of lesions in the liver
With the help of a federal grant, the local school nurse has established a spreadsheet that contains relevant nursing data so that she can analyze children's health. School health programs are:
a. Increasingly seen as primary care sites for children. b. Providing only health education programs for children and their parents. c. Capable only of providing referrals for health problems to primary care providers. d. Funded exclusively by local authorities.
The community health nurse plans to implement a specific program that will involve use of the new community center that includes a pool and clubhouse. Which would be the best intervention when looking at who and how this center will be utilized?
A) Focus on entire population B) Policy development and enforcement C) Reflect community priorities and needs D) Promote health through epidemiologic evidence
An elderly patient in the ICU with chronic renal failure has just undergone surgery for a synthetic arteriovenous graft in her left forearm for dialysis access
The nurse recognizes that the most likely reason this patient received a graft instead of a fistula is which of the following? A) Thrombosis is less likely to occur with grafts than with fistulas. B) Fistulas are more prone to infection than are grafts. C) The patient's own blood vessels were not adequate for fistula formation. D) An aneurysm is more likely to occur in a fistula than in a graft.