The nurse is working in a neonatal intensive care unit and is caring for a baby born with myelomeningocele. The baby developed multiple infections, one of which resulted in removal of a large part of the bowel and creation of an ileostomy
The baby was on the mechanical ventilator for several weeks, and developed bronchopulmonary dysplasia; he currently has a tracheostomy. The parents do not feel they are capable of caring for this child's multiple medical problems, because they both work outside the home and have four other children to care for. The nurse attends a client care conference and suggests placing the child in a: 1. Rehabilitation facility.
2. Long-term care facility.
3. Foster home.
4. Acute care facility.
2
Rationale: This client might benefit from placement in a pediatric long-term care facility that is capable of caring for an infant with multiple medical needs until the child's condition is stabilized enough to allow discharge to the home. The infant is too young to benefit from rehabilitation, although physical therapy will play an important role in this child's care. The parents' inability to provide skilled nursing care does not indicate a need to remove the child from their custody. The child is already in an acute care facility.
You might also like to view...
Environmental management is a crucial topic when considering the quality of living for elderly persons. Several aspects need to be considered when examining the environment. One critical aspect is safety
If you were evaluating the home of an elderly person who has had a total hip replacement, what areas would you consider the most important? a. The safety of the neighborhood and the internal safety of the home b. The accessibility of a grocery and drug store and the availability of a working telephone c. Does the neighborhood have an Emergency Medical Services nearby in case the patient falls again? d. Are the neighbors friendly?
The nurse stresses that when a person produces his own antibodies against a specific antigen, that process of immunity is ______________ ________________ immunity
ANS:
Which intervention would be a priority in the treatment of a patient with Wernicke's encephalopathy from chronic alcohol abuse?
a. Disulfiram b. Thiamine c. Ondansetron d. Antidepressants
The nurse is preparing to flush a PICC line. The protocol specifies using 50 units of heparin. Available is a multidose vial containing heparin, 10 units/mL. Which syringe does the nurse use to draw up and administer the heparin?
What will be an ideal response?