Author Question: A family is in the clinic because their infant is fussy and not sleeping or eating well. Which of ... (Read 61 times)

2125004343 · **on:** Jul 22, 2018

A family is in the clinic because their infant is fussy and not sleeping or eating well. Which of the following is the first priority of care by the nurse?

1. Feed the baby
2. Observe the interactions between the parents and infant
3. Draw blood for laboratory work
4. Give the baby medicine for colic

Question 2

The nurse would suspect deep venous thrombosis in a client with which of the following assessment findings?

1. Bilateral calf tenderness after walking up a flight of stairs
2. Swelling in one leg with pitting edema
3. Shortness of breath after activity
4. Two plus palpable pedal pulses

isabelt_18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Observe the interactions between the parents and infant

Rationale:
Since the parents' complaints are possibly related to an infant who has symptoms of failure to thrive, the nurse would assess the relationship and interactions between the infant and parents. Assessment is the priority, not feeding the baby. The physician orders labs and medications.

Answer to Question 2

2. Swelling in one leg with pitting edema

Rationale:
Swelling in one leg with pitting edema is suggestive of deep venous thrombosis in the vein of the affected leg because the clot is obstructing the venous return from the leg. Bilateral calf tenderness may be a normal reaction to the exercise of climbing stairs. Shortness of breath that subsides after activity and two plus palpable pulses are normal.