When planning the care for a preterm infant with ineffective ...

[altibaby]

When planning the care for a preterm infant with ineffective thermoregulation, the nurse should include which intervention?
 
  A) Keep the baby's head uncovered.
  B) Rinse hands with cold water before providing care to the infant.
  C) Place incubator near a window or source of fresh air.
  D) Allow skin-to-skin contact with the mother to maintain warmth.

Question 2

A client admitted with injuries after being involved in a motor vehicle crash states to the nurse, every time I close my eyes I see the truck coming. Which is the priority nursing diagnosis for this client?
 
  A) Post-Trauma Syndrome
  B) Risk for Infection
  C) Ineffective Coping
  D) Anxiety

[tsternbergh47]

Answer to Question 1

Answer: D

The nurse needs to plan for a neutral thermal environment to minimize oxygen consumption, prevent cold stress, and facilitate growth of the preterm infant. To do this, the nurse should plan for the infant to have skin-to-skin contact with the mother to maintain warmth. The hands should be rinsed with warm water before providing care to the infant. The baby's head should be covered because the head is 25 of the baby's size and is prone to evaporative heat loss. Incubators should be moved away from drafts or open windows to reduce radiative and conductive heat loss.

Answer to Question 2

Answer: A

The client is reliving the motor vehicle accident every time she closes her eyes. This indicates that the client is at risk for or has developed post-trauma syndrome. There is not enough information to determine whether the client is at risk for infection, ineffective coping, or anxiety.

[altibaby]

Correct answers!

[tsternbergh47]

Great! Please up vote