Which interventions should the nurse implement to prevent ...

[karlynnae]

Which interventions should the nurse implement to prevent complications of immobility for a child in skeletal traction? Select all that apply.
 
  a. Reposition the child every 2 hours.
  b. Avoid use of an egg-crate or sheepskin mattress.
  c. Limit fluid intake.
  d. Administer stool softeners as prescribed.
  e. Encourage coughing and deep breathing.

Question 2

To maintain optimal thermoregulation for the premature infant, the nurse should
 
  a. Bathe the infant once a day.
  b. Put an undershirt on the infant in the incubator.
  c. Assess the infant's hydration status.
  d. Lightly clothe the infant under the radiant warmer.

[aruss1303]

Answer to Question 1

A, D, E
Feedback
Correct Complications of immobility can affect the skin, the gastrointestinal
system, and the respiratory system. The child should be repositioned every
2 hours to prevent skin breakdown. Stool softeners should be administered
to avoid constipation and the child should cough and deep breathe to
maintain respiratory function.
Incorrect Egg-crate or sheep skin mattresses can be useful in preventing skin
breakdown, and fluids should be increased to prevent constipation, not
decreased.

Answer to Question 2

B
Feedback
A Bathing causes evaporative heat loss.
B Air currents around an unclothed infant will result in heat loss.
C This is an important assessment but will not maintain thermoregulation.
D Clothing is not worn when the infant is under a radiant warmer.

[karlynnae]

Thanks for the timely response, appreciate it

[chereeb]

Gracias!