The assessment of the 1-hour-old neonate that should be reported ...

[melina_rosy]

The assessment of the 1-hour-old neonate that should be reported immediately is:
 
  a. Cyanotic hands and feet
  b. Cephalhematoma
  c. Tremors of the lips and limbs when crying
  d. Substernal retractions

Question 2

A nurse is working on the discharge plan of a 17-year-old female patient found to be abusing narcotics. The nurse should include which of the following in her plan?
 
  1. Referral to a support group, such as Narcotics Anonymous
   2. Administration of an opiate substitute, such as methadone
   3. Educating the patient and family on the warning signs of a relapse
   4. All of the above

[KKcool]

Answer to Question 1

D
Retractions of any type should be reported immediately as they are indicative of respiratory difficulty. Cyanosis of the hands and feet (acrocyanosis) is not remarkable in the first hours of life. Cephalhematomas usually clear in the first several months. Tremor of the limbs and lips is a normal event when the neonate is crying.

Answer to Question 2

4
Feedback
1. Management of a patient abusing narcotics includes individual or group therapy and/or a referral to Narcotics Anonymous.
2. Management of a patient abusing narcotics includes administering opiate substitutes.
3. Patients and their families need to be educated on the warning signs of a relapse for early intervention.
4. Management of a patient abusing narcotics includes individual or group therapy and/or a referral to Narcotics Anonymous, assessing for the use of other substances, monitoring vital signs, administering opiate substitutes, and controlling withdrawal symptoms. Patients and their families need to be educated on the warning signs of relapse for early intervention. These include being around other users, having severe cravings, and ceasing or decreasing attendance at Narcotics Anonymous.