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 B
Explanation
a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.
b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.
c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.
d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.
Correct Answer is C
Explanation
a) The eustachian tube is longer, wider, and more vertical in younger children: Inaccurate; a more vertical tube might be less prone to drainage issues.
b) The eustachian tube is longer, narrower, and more vertical in younger children: The opposite configuration of the pediatric eustachian tube.
c) The eustachian tube is shorter, wider, and more horizontal in younger children: The anatomy of the pediatric eustachian tube predisposes children to ear infections due to poor drainage and ventilation.
d) The eustachian tube is shorter, narrower, and more horizontal in younger children: Inaccurate; this configuration is less prone to issues related to otitis media.
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