In caring for the preterm infant, what complication is thought to be a result of high arteri-al blood oxygen level?
a. Necrotizing enterocolitis (NEC)
b. Retinopathy of prematurity (ROP)
c. Small for gestational age
d. Intraventricular hemorrhage (IVH)
B
ROP is thought to occur as a result of high levels of oxygen in the blood.
NEC is due to the interference of blood supply to the intestinal mucosa. Necrotic lesions oc-cur at that site.
BPD is caused by the use of positive pressure ventilation against the immature lung tissue.
IVH is due to rupture of the fragile blood vessels in the ventricles of the brain. It is most of-ten associated with hypoxic injury, increased blood pressure, and fluctuating cerebral blood flow.
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A 6-year-old child is admitted after being in a fire at school. The physician plans to perform a bronchoscopy to assess for airway damage. Which nursing action is the priority for this child?
A. Document any teaching done in the child's chart. B. Let the child perform the procedure on a doll. C. Obtain written consent from the parent/guardian. D. Tell the child he or she won't remember the procedure.
Which of the following may occur in nuclear families at a greater level than in some other types of families?
A) Financial difficulties B) Problems with allocation of resources C) Formation of a poor parent–child relationship D) Lack of support people in a crisis
A homeless patient with serious and persistent mental illness became suspicious and delusional. The patient was given depot antipsychotic medication, and housing for the patient was obtained in a local shelter
After 2 weeks, which statement by the patient indicates significant improvement? a. "I am feeling safe and comfortable here. Nobody bothers me." b. "They will not let me drink. They have many rules in the shelter." c. "Those guys are always watching me. I think someone stole my shoes." d. "That shot made my arm sore. I'm not going to take any more of them."
The client has been placed on a 1,200 mL oral fluid restriction. How should the nurse plan for this restriction?
1. Allow 600 mL from 7-3, 400 mL from 3-11, and 200 mL from 11-7. 2. Instruct the client that the 1,200 mL of fluid placed in the bedside pitcher must last until tomorrow. 3. Offer the client softer, cold foods such as sherbet and custard. 4. Remove fluids from diet trays and offer them only between meals.