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","B","D"]
Explanation
a) nephritis: Common in lupus, involving inflammation of the kidneys.
b) butterfly rash: Characteristic rash across the cheeks and bridge of the nose, commonly seen in lupus.
c) hepatomegaly: While possible in certain conditions, it's not typically a primary manifestation of lupus.
d) arthritis: Joint inflammation and pain are common in lupus.
e) osteochondritis: While musculoskeletal symptoms can occur in lupus, osteochondritis is not a common manifestation.
Correct Answer is C
Explanation
a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.
b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.
c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.
d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.
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