A pediatrician has prescribed oxygen as needed for an infant with heart failure. Which situation would likely increase the oxygen demand. requiring the nurse to administer oxygen to the infant?
when a parent is holding the infant
During sleep
When changing the infant's diapers
When drawing blood for electrolyte level testing
The Correct Answer is D
A. When a parent is holding the infant
Explanation: Being held by a parent is generally a comforting and calming experience for an infant, and it is unlikely to significantly increase oxygen demand. In fact, the presence of a familiar caregiver may help reduce stress.
B. During sleep
Explanation: During sleep, an infant's oxygen demand may decrease, and oxygen supplementation may not be necessary unless there are specific indications or concerns about oxygen saturation levels.
C. When changing the infant's diapers
Explanation: Changing a diaper is a routine care activity that is not likely to significantly increase oxygen demand. It is not typically associated with stress or increased metabolic activity that would necessitate additional oxygen.
D. When drawing blood for electrolyte level testing
Explanation:
Drawing blood for electrolyte level testing is a potentially stressful procedure that may cause distress and anxiety in the infant. Stress and anxiety can increase the metabolic rate and oxygen demand. In a situation where an infant is already prescribed oxygen as needed for heart failure, additional stressors like blood drawing may necessitate the administration of oxygen to ensure an adequate oxygen supply
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Stopping the medication when the child feels better: Antibiotics should be taken for the full prescribed course, even if the child starts feeling better. Stopping prematurely can lead to incomplete eradication of the infection and potential antibiotic resistance.
B. Written information about the medication: Providing written information about the medication helps reinforce verbal instructions and serves as a reference for the parents or caregivers.
C. The reason why the child is taking the medication: It is essential to explain to parents or caregivers the purpose of the medication, such as treating a specific infection. Understanding the reason for the medication promotes compliance.
D. Using a kitchen spoon to administer the medication: Using a kitchen spoon can result in inaccurate dosing. The nurse should recommend using an appropriate measuring device, such as a calibrated oral syringe or a dosing spoon, to ensure accurate dosage administration.
E. The adverse effects of the medication: Educating parents or caregivers about potential adverse effects helps them monitor for any signs of complications and seek medical attention if needed.
Correct Answer is ["A","B","E"]
Explanation
A."The manifestations are lessened by taking the prednisone every other day instead of daily."
Explanation: Cushingoid characteristics can be related to prolonged corticosteroid use. Adjusting the dosing schedule, such as administering prednisone every other day instead of daily, may help minimize these manifestations.
B."You need to be sure to talk to the doctor about the Cushingoid characteristics."
Explanation: Open communication with the healthcare provider is crucial. Discussing the concerns about Cushingoid characteristics with the doctor allows for appropriate evaluation and potential adjustments to the treatment plan.
C."Which manifestations of this condition do you find most troublesome?"
Explanation: This question opens the discussion to identify specific concerns and allows the nurse to address them individually.
D."I am sure it will be all right; they hardly look unusual."
Explanation: This statement may downplay the parents' concerns. It's essential to acknowledge their worries and provide accurate information about the potential impact of corticosteroids and the plan for managing Cushingoid characteristics.
E."The Cushingoid appearance will gradually disappear once the corticosteroids are tapered and discontinued."
Explanation: Cushingoid characteristics are associated with the side effects of corticosteroid use. The nurse should provide reassurance that, in many cases, these characteristics can gradually improve once the corticosteroid dose is tapered and eventually discontinued.
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