Author Question: When caring for the neonate immediately following delivery, the priority nursing diagnosis will be ... (Read 70 times)

Charlie · **on:** Jul 24, 2018

When caring for the neonate immediately following delivery, the priority nursing diagnosis will be

a. risk for bleeding.
b. altered body temperature.
c. ineffective airway clearance.
d. risk for infection.

Question 2

The nurse administers hydralazine IV to control the blood pressure of a woman diagnosed with preeclampsia. If the nurse administered this medication at 0800, the next assessment of blood pressure should occur at

a. 0803.
b. 0815.
c. 0830.
d. 1000.

hugthug12 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Ensuring that the airway remains open is the priority because if the airway does not remain patent, oxygenation will be impaired. Risk for bleeding, altered body temperature, and risk for infection are relevant but not priorities at this time.

Answer to Question 2

ANS: A
The vasodilator hydralazine is usually administered to control blood pressure. If IV has been given, monitor the maternal and fetal heart rates and the mother's blood pressure every 2 to 3 minutes after the initial dose and every 10 to 15 minutes thereafter.