Author Question: The nurse is teaching the mother of a 4-year-old boy with a history of impaction to administer ... (Read 29 times)

ENagel · **on:** Jun 27, 2018

The nurse is teaching the mother of a 4-year-old boy with a history of impaction to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?

A) I should position him on his abdomen with his knees bent.
B) He will require 250 to 500 mL of enema solution.
C) I should wash my hands and then put on gloves.
D) He should retain the solution for 5 to 10 minutes.

Question 2

A newborn with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which of the following would the nurse anticipate for this newborn?

A) Extracorporeal membrane oxygenation (ECMO)
B) Respiratory support with ventilator
C) Insertion of laryngoscope for deep suctioning
D) Replacement of endotracheal tube via x-ray

prumorgan · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Response:
A 4-year-old child should lie on his or her left side with the right leg flexed toward the chest. An infant or toddler is positioned on the abdomen. A toddler or preschooler should receive approximately 250 to 500 mL of enema solution and retain the enema for 5 to 10 minutes. The caregiver should wash his or her hands and then apply gloves.

Answer to Question 2

A
Response:
If conventional measures are ineffective, then the nurse would need to prepare the newborn for ECMO. Hyperoxygenation, ventilatory support, and suctioning are typically used initially to promote tissue perfusion. If these are ineffective, then ECMO would be the next step.