Which nursing intervention is appropriate in the management of ...

[Garrulous]

Which nursing intervention is appropriate in the management of the preterm infant with hypothermia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Warm the baby rapidly to reverse the hypothermia.
  2. Monitor skin temperature every 2 hours to determine whether the infant's temperature is increasing.
  3. Keep IV fluids at room temperature.
  4. Initiate efforts to maintain the newborn in a neutral thermal environment.
  5. Warm the baby slowly to reverse hypothermia and reach a neutral thermal environment.

Question 2

A woman in active labor is given nalbuphine hydrochloride (Nubain) 14 mg IV for pain relief. Half an hour later, her respirations are at 8 per minute. The physician would likely order which medication for this patient?
 
  1. Narcan
  2. Reglan
  3. Benadryl
  4. Vistaril

[guyanai]

Answer to Question 1

4,5
Rationale 1: Rapid temperature elevation can cause hypotension and apnea.
Rationale 2: The skin temperature should be monitored at least every 1530 minutes to determine whether it is increasing.
Rationale 3: IV fluids should be warmed prior to infusion.
Rationale 4: The nurse should initiate efforts to block heat loss by evaporation, radiation, convection, and conduction.
Rationale 5: The infant should be warmed slowly to prevent hypotension and apnea.

Answer to Question 2

1
Rationale 1: Narcan is the drug used to reverse the respiratory effects of narcotics.
Rationale 2: Reglan would not be used for a decreased respiratory rate.
Rationale 3: Benadryl is not used for a decreased respiratory rate.
Rationale 4: Vistaril would further decrease respiratory rate.