An infant girl is preterm and on a respirator with intravenous ...

[Shelles]

An infant girl is preterm and on a respirator with intravenous lines and much equipment around her when her parents come to visit for the first time. It is important for the nurse to
 
  a. Suggest that the parents visit for only a short time to reduce their anxieties.
  b. Reassure the parents that the baby is progressing well.
  c. Encourage the parents to touch her.
  d. Discuss the care they will give her when she goes home.

Question 2

In caring for a child with a compound fracture, the nurse should carefully assess for
 
  a. Infection
  b. Osteoarthritis
  c. Epiphyseal disruption
  d. Periosteum thickening

[cdmart10]

Answer to Question 1

C
Feedback
A Bonding needs to occur, and this can be fostered by encouraging the parents to
spend time with the infant.
B It is important to keep the parents informed about the infant's progression, but
the nurse needs to be honest with the explanations.
C Physical contact with the infant is important to establish early bonding. The
nurse as the support person and teacher is responsible for shaping the
environment and making the care giving responsive to the needs of both the
parents and the infant. This is the most appropriate response by the nurse.
D This is an important part of parent teaching, but it is not the most important
priority during the first visit.

Answer to Question 2

A
Feedback
A Because the skin has been broken, the child is at risk for organisms to enter the
wound.
B The incidence of osteoarthritis does not increase with a compound fracture.
C The chance of epiphyseal disruption is not increased with compound fracture.
D Periosteum thickening is part of the healing process and not a complication.