A nurse is giving discharge instructions to parents taking a ...

[KWilfred]

A nurse is giving discharge instructions to parents taking a newborn home with apneic episodes. The newborn has an apnea monitor for home. The instructions should include: (Select all that apply.)
 
  1. How to clean the monitor pieces.
   2. Allowing the monitor to be off when the parents are sitting with the newborn in an awake state.
   3. Never take the monitor off.
   4. Take the monitor off when bathing the baby.
   5. Reset the alarm limits if the monitor is ringing frequently.

Question 2

The laboratory results of a child with AML indicate a white blood cell count of 500 with two percent bands. Which of the following responses is appropriate?
 
  1. Administer the Hepatitis B vaccine as ordered.
   2. Prepare for hemolytic reactions.
   3. Visitors can bring flowers and gifts of fruit to the child.
   4. Have people wash their hands prior to contact with the child.

[jrpg123456]

Answer to Question 1

1, 2, 4
Feedback
1. Keeping the pieces clean will aid in decreasing the chances for infection and help maintain a working monitor.
2. The newborn can be off the monitor while awake, and being supervised helps decrease skin breakdown.
3. The monitor should be taken off for periods while the newborn is awake and supervised.
4. Since the monitor is electric, it should not become wet at any time.
5. The alarm limits are prescribed by a provider and should not be reset.

Answer to Question 2

4
Feedback
1. The child is at high risk for infection and vaccinations are not recommended.
2. The child is at risk for infection.
3. Flowers and fruit can bring in bacteria and should be avoided.
4. The child is at high risk of infection because he/she does not have an adequate white blood cell count of greater than 500, and the bands are immature white cells.