A nurse is caring for an infant who sustained critical injuries in a motor vehicle accident and is not expected to survive. Which of the following interventions should the nurse implement to support the infant's parents in anticipatory grieving?

Cover the equipment used in the infant's care prior to the parents' first visit.

Reduce the parents' distress by limiting the duration of their visit.

Avoid leaving the parents alone with the infant during their visit.

Involve the parents in the infant's caregiving activities during their visit.

Answer and Explanation

The Correct Answer is D

A. Cover the equipment used in the infant's care prior to the parents' first visit: While this might reduce visual distress, it does not directly support the grieving process or involve the parents in meaningful interactions.
B. Reduce the parents' distress by limiting the duration of their visit: Limiting visit time may increase distress by reducing opportunities for the parents to process emotions.
C. Avoid leaving the parents alone with the infant during their visit: Parents may value privacy to express their feelings and bond with the infant without outside observation.
D. Involve the parents in the infant's caregiving activities during their visit. Involving parents in caregiving helps them feel connected to their child and provides meaningful time to bond, which supports healthy grieving.

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Correct Answer is D

Explanation

A. Administer IV antibiotics: While urgent, antibiotics can be administered after precautions are in place to ensure safety.
B. Monitor vital signs: Important but not the first action. Vital signs can be monitored after precautions are initiated.
C. Encourage oral fluids: Incorrect because IV fluids are usually required due to the severity of the illness and risk of shock.
D. Initiate droplet precautions. Protecting others from transmission is the highest priority in managing bacterial meningitis, a highly contagious condition.

A. Feed infant in a supine position B. Offer smaller, more frequent feedings C. Thicken formula feedings with rice cereal D. Place infant in a side lying position for sleep.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Feed infant in a supine position: Contraindicated

Supine feeding increases the risk of aspiration and exacerbates reflux.

Offer smaller, more frequent feedings: Appropriate

Smaller, frequent feedings reduce gastric distension and reflux episodes.

Thicken formula feedings with rice cereal: Appropriate

Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.

Place infant in a side-lying position for sleep: Contraindicated

The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).

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A nurse is caring for an infant who sustained critical injuries in a motor vehicle accident and is not expected to survive. Which of the following interventions should the nurse implement to support the infant's parents in anticipatory grieving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has bacterial meningitis. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

The nurse is continuing to care for the infant. The nurse is providing teaching to the parents of the infant. For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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