An infant born with an omphalocele defect is admitted to the intensive care nursery. Which instruction from the nurse manager to the unlicensed assistive personal is most appropriate?
Prepare a warmer
Prepare a crib
Prepare a feeding of formula
Prepare the bilirubin light
The Correct Answer is A
a) Prepare a warmer: Infants born with omphalocele defects require careful temperature regulation due to potential heat loss through the exposed abdominal contents. Using a warmer helps maintain the infant's body temperature.
b) Prepare a crib: While necessary for the infant, temperature regulation is a more immediate concern.
c) Prepare a feeding of formula: Feeding might be necessary but is not the most urgent need for an infant with an omphalocele.
d) Prepare the bilirubin light: Bilirubin lights are used for treating jaundice, which might not be an immediate concern for an infant with an omphalocele defect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Projectile vomiting: A hallmark symptom of pyloric stenosis due to the narrowing of the pyloric sphincter, leading to forceful and projectile vomiting.
b) Watery diarrhea: Not typically associated with pyloric stenosis.
c) Increased urine output: Unrelated to pyloric stenosis, urinary output might vary based on other factors.
d) Bloody stools: Typically not a primary symptom of pyloric stenosis, which primarily affects the passage of food from the stomach.
Correct Answer is B
Explanation
a) Obtaining a sweat chloride test: Likely already part of routine monitoring for cystic fibrosis.
b) Reproductive ability: Adolescents with cystic fibrosis may need education regarding how their condition can affect fertility.
c) The effect of pancreatic enzymes on sex hormones: Not a commonly discussed aspect in cystic fibrosis care.
d) Increased need for weight reduction diet: Weight maintenance or specific diets to promote weight gain are more commonly addressed in cystic fibrosis care.
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