Which intervention should the nurse implement to maintain the skin integrity of the premature newborn?
a. Cleanse skin with a gentle alkaline-based soap and water.
b. Cleanse skin with a neutral pH solution only when necessary.
c. Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
d. Avoid cleaning skin.
ANS: B
The premature newborn should be given baths no more than two or three times per week with a neutral pH solution. The eyes, oral and diaper areas, and pressure points should be cleansed daily. Alkaline-based soaps might destroy the acid mantle of the skin. They should not be used. The increased permeability of the skin facilitates absorption of the chemical ingredients. The newborn's skin must be cleaned to remove stool and urine, which are irritating to the skin.
You might also like to view...
Range-of-motion exercises, early ambulation, and adequate hydration are interventions to prevent:
a. catheter-associated infection. b. venous thromboembolism. c. fat embolism. d. nosocomial pneumonia.
A newborn is diagnosed with a meconium plug. Which interventions should the nurse prepare to provide to help resolve this health problem? (Select all that apply.)
A) Administration of a barium enema B) Administration of a gastrografin enema C) Administration of 5 ml of saline enema D) Administration of 10 ml of tap water enema E) Rectal instillation of acetylcysteine (Mucomyst)
Which activity is an example of a nursing intervention with a population aggregate at the primary level of prevention?
a. preparing and presenting a class on relaxation techniques to mental health workers b. taking a field trip to the grocery store to practice shopping skills with ill clients c. screening a group of clients for hypertension at the community mental health center d. presenting medication information to a group of clients with long-term mental illness
Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?
a. Idiopathic thrombocytopenic purpura (ITP) b. Acute lymphocytic leukemia (ALL) c. Non-Hodgkin lymphoma (NHL) d. Iron deficiency anemia (IDA)