A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

A large bore needle with Heimlich valve for needle aspiration

A chest tube set up

Intubation setup

Appropriate self-inflating bag and correct mask size

Answer and Explanation

The Correct Answer is C

a) A large bore needle with Heimlich valve for needle aspiration: Not typically used in the management of diaphragmatic hernia.

b) A chest tube set up: While useful in other situations, it may not be the immediate priority in managing diaphragmatic hernia.

c) Intubation setup: Essential for respiratory support in newborns with diaphragmatic hernia, as it helps manage respiratory distress.

d) Appropriate self-inflating bag and correct mask size: Important for neonatal resuscitation but doesn’t specifically address the respiratory challenges associated with diaphragmatic hernia.

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Correct Answer is A

Explanation

a) Promoting healthy mental-health outcomes: The primary focus should be on the client's emotional well-being and helping them cope with the feelings of loneliness and adjustment to a new environment.
b) Helping the school-age client register the value of soccer: While beneficial, it's secondary to addressing the client's emotional state.
c) Stressing the importance of remaining in close parent-child relationships: Important, but not the immediate priority in this situation.
d) Acknowledging the fact that it might take several months to make new friends at this school: Valid, but addressing the immediate emotional distress is more crucial.

A. Constipation B. Meconium ileus C. Rectal prolapse D. Steatorrhea stools

Correct Answer is B

Explanation

a) Constipation: Not typically a primary symptom of cystic fibrosis.

b) Meconium ileus: Meconium ileus is a bowel obstruction that occurs shortly after birth due to abnormally thick meconium. It is a classic early sign of cystic fibrosis in newborns. Other symptoms such as failure to thrive, persistent cough, salty-tasting skin, and recurrent respiratory infections may also manifest later.

c) Rectal prolapse: Can be related to cystic fibrosis but is not as specific as other symptoms.

d) Steatorrhea stools: Frequent fatty stools are symptoms of the disease but not specific to cystic fibrosis.

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A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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