« previous next »

Author Question: Which intervention should the nurse implement to maintain the skin integrity of the premature ... (Read 54 times)

bobbysung

  • Hero Member
  • *****
  • Posts: 519
on: Jun 28, 2018
Which intervention should the nurse implement to maintain the skin integrity of the premature newborn?
 
  a. Cleanse skin with a gentle alkaline-based soap and water.
  b. Cleanse skin with a neutral pH solution only when necessary.
  c. Thoroughly rinse skin with plain water after bathing in a mild hexachlorophene solution.
  d. Avoid cleaning skin.

Question 2

Which is the most appropriate nursing action when intermittently gavage-feeding a preterm newborn?
 
  a. Allow formula to flow by gravity.
  b. Insert tube through nares rather than mouth.
  c. Avoid letting newborn suck on tube.
  d. Apply steady pressure to syringe to deliver formula to stomach in a timely manner.


reelove4eva

  • Sr. Member
  • ****
  • Posts: 332
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
The premature newborn should be given baths no more than two or three times per week with a neutral pH solution. The eyes, oral and diaper areas, and pressure points should be cleansed daily. Alkaline-based soaps might destroy the acid mantle of the skin. They should not be used. The increased permeability of the skin facilitates absorption of the chemical ingredients. The newborn's skin must be cleaned to remove stool and urine, which are irritating to the skin.

Answer to Question 2

ANS: A
The formula is allowed to flow by gravity. The length of time to complete the feeding will vary. Preferably, the tube is inserted through the mouth. Newborns are obligatory nose breathers, and the presence of the tube in the nose irritates the nasal mucosa. Passage of the tube through the mouth allows the nurse to observe and evaluate the sucking response. The feeding should not be done under pressure. This procedure is not used as a timesaver for the nurse.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Skin of an African (left) and Asian (right) elephant. Skin of an African (left) and Asian (right) elephant.
Mastocytosis of skin Mastocytosis of skin
TB skin test. TB skin test.
Common skin signs are often evidence of an illness or disorder. A vesicle is a small fluid filled ... Common skin signs are often evidence of an illness or disorder. A vesicle is a small fluid filled ...
a) When leaning from a seated position, maintain a neutral spine. b) Avoid sitting with your spine ... a) When leaning from a seated position, maintain a neutral spine. b) Avoid sitting with your spine ...
Roberts's Assessment, Crisis Intervention, and Trauma Treatment (ACT) model. Roberts's Assessment, Crisis Intervention, and Trauma Treatment (ACT) model.
Video: Medullary osmotic gradient - influencing factors

For a complete list of videos, visit our video library