Which action by the nurse can cause hyperthermia in the newborn?

a. Placing a cap on the newborn
b. Wrapping the newborn in a warm blanket
c. Placing the newborn in a skin to skin position with the mother
d. Placing the newborn in the radiant warmer without attaching the skin probe


ANS: D
Newborns may be overheated by poorly regulated equipment designed to keep them warm. When radiant warmers, warming lights, or warmed incubators are used, the temperature mechanism must be set to vary the heat according to the infant's skin temperature; this prevents too much or too little heat. Alarms to signal that the infant's temperature is too high or too low should be functioning properly. If the skin probe is not used, the alarms will not function properly. Putting a hat on the newborn, wrapping the newborn in a warm blanket, or placing the newborn skin to skin with the mother will not cause hyperthermia.

Nursing

You might also like to view...

When used for a short period to treat dysfunctional bleeding, progestins will have which effect?

a. They will cause breakthrough bleeding in 24 hours. b. They will stop bleeding and cause the endometrium to shed. c. They will decrease the risk for endometrial cancer. d. They will stop all side effects of the drug.

Nursing

The division of nursing wants a nursing classification system within the healthcare-information system that documents the six steps of the nursing process across the care continuum. Which system should the informatics nurse recommend?

A) International Classification of Nursing Practice (ICNP) B) NANDA International Nursing Diagnoses C) NANDA-I Taxonomy II D) Clinical Care Classification (CCC) System

Nursing

The teaching for a patient who is taking tamsulosin (Flomax) to reduce urinary obstruction due to benign prostatic hyperplasia will include which of these?

a. Fluids need to be restricted while on this medication. b. Take the medication with breakfast to promote the maximum effects of the drug. c. Get up slowly from a sitting or lying position. d. Blood pressure must be monitored because the medication may cause hypertension.

Nursing

A new child moved into a neighborhood. The children next door asked him to come over and play. He thanked them but stayed home. Which of the following is an explanation for the child's behavior?

a. He came from a violent neighborhood where children never played outdoors. b. He does not believe he knows the next door kids well enough yet. c. His mother works and does not want to be asked to take a turn babysitting. d. He has to take care of an ill family member after school.

Nursing