A novice nurse in the newborn intensive care unit (NICU) has just ...

[theo]

A novice nurse in the newborn intensive care unit (NICU) has just performed post-mortem care on a premature infant who passed away. The novice nurse asks to be excused near the end of the shift.
 
  Which interventions can be implemented to support this nurse?
  Standard Text: Select all that apply.
  1. Schedule additional education on bereavement care
  2. Ask a seasoned nurse to talk with the novice nurse
  3. Tell the nurse it is ok to grieve with the family
  4. Recommend that the nurse transfer to another unit
  5. Assign the nurse to stable clients only

Question 2

The nurse is providing care to an adolescent client who is dying. Which assessment findings indicate the client is experiencing a decrease in peripheral circulation?
 
  1. Cool skin
  2. Mottled appearance
  3. CheyneStokes respirations
  4. Increased agitation
  5. Increased urine output

[ngr69]

Answer to Question 1

Correct Answer: 1,2,3
Rationale: Appropriate interventions for this nurse include scheduling additional education on bereavement care, asking a seasoned nurse to talk about the situation with the novice nurse, and telling the nurse it is ok to grieve with the family. Recommending a transfer and assigning the nurse to only stable clients are not appropriate interventions to support the novice nurse.

Answer to Question 2

Correct Answer: 1,2
Rationale: A client who is experiencing decreased peripheral circulation will have cool, mottled skin. While CheyneStokes respirations may indicate death is approaching, this is not indicative of a decrease in peripheral circulation. Increased agitation indicates decreased perfusion to the brain. A client will not experience increased urine output near the end life.

[theo]

Excellent

[T4T]

TYSM