The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

Maintain a thermoneutral environment

Accurately measure all intake and output

Provide for several periods of uninterrupted rest

Incentive spirometer 10 times every hour

Encourage periods of bonding

Answer and Explanation

Correct Answer : A,B,C,E

A. Maintain a thermoneutral environment: Helps prevent temperature fluctuations that can stress the heart post-surgery.
B. Accurately measure all intake and output: Ensures fluid balance is carefully monitored to prevent fluid overload or dehydration.
C. Provide for several periods of uninterrupted rest: Reduces metabolic demand, aiding in recovery and healing.
D. Incentive spirometer 10 times every hour: Inappropriate for infants following cardiac surgery, as they are unable to effectively use an incentive spirometer.
E. Encourage periods of bonding: Supports emotional well-being and aids in the infant's overall recovery and development.

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Correct Answer is ["0.3"]

Explanation

Convert weight from pounds to kilograms:

19pounds÷2.2=8.64kg

Calculate the total daily dose:

0.07mg/kg/day×8.64kg=0.6048mg/day

Divide the daily dose into two doses:

0.6048mg/day÷2=0.3024mg/dose

Round off the dose to two decimal places:

0.3024mg≈0.30mg

The maximum amount of medication per dose is 0.3 mg.

A. Substance use B. Extreme stress C. High socioeconomic background D. Strong support system E. Prematurity F. Chronic illness

Correct Answer is ["A","B","E","F"]

Explanation

A. Substance use. Parents or caregivers who use substances are more likely to abuse children due to impaired judgment and increased stress levels.
B. Extreme stress. High levels of stress in the family can increase the risk of child abuse as it can lead to frustration and inappropriate coping mechanisms.
C. High socioeconomic background. This is not typically associated with increased risk of child abuse; abuse can occur across all socioeconomic levels, but certain stressors are more prevalent in lower socioeconomic contexts.
D. Strong support system. A strong support system typically acts as a protective factor against child abuse by providing resources and emotional support to caregivers.
E. Prematurity. Premature infants often have increased care needs, which can lead to parental stress and potential abuse.
F. Chronic illness. Children with chronic illnesses may require more care, leading to caregiver stress and higher risk of abuse.

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The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A child with a heart defect is placed on a maintenance dose of Lanoxin elixir. The ordered dose is 0.07mg/kg/day in 2 divided doses. The child weighs 19 pounds. What is the maximum amount of medication that will be given per dose by the nurse?

Correct Answer is ["0.3"]

Explanation

Which of the following factors would the nurse identify as risk factors for abuse in children? (Select All that Apply.)

Correct Answer is ["A","B","E","F"]

Explanation

A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?

The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

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