Author Question: The mother of a 1-month-old infant calls the nurse at the health clinic. The mother is concerned ... (Read 117 times)

shenderson6 · **on:** Jul 22, 2018

The mother of a 1-month-old infant calls the nurse at the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 2 days. What instruction should the nurse give this infant's mother?

1. Bring the infant to the clinic for evaluation.
2. Give the infant at least 2 ounces of juice every 2 hours.
3. Measure the infant's urine output for 24 hours.
4. Provide the infant with 50 mL of glucose water.

Question 2

A rural health nurse is working with a client who experienced a myocardial infarction several months ago.

The client has returned to the home but is concerned that the community clinic does not have the ability to provide the necessary monitoring for the client. The best response by the nurse is: 1. You are right. We will be sending you to the city every month..
2. Through telehealth, we can send your information to the cardiologist..
3. It is not necessary for you to be monitored..
4. We use an intranet in this facility..

ApricotDream · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Bring the infant to the clinic for evaluation.

Rationale:
Parents and caregivers need to be taught the seriousness of vomiting or diarrhea in infants due to rapid fluid loss that can occur in this age group. They should also be taught the importance of bringing an infant in this situation to health care providers for evaluation. Encouraging fluids for an infant who is actively vomiting will not improve fluid balance status, nor is juice or glucose water the best choice of fluid. Simply monitoring the loss over the next 24 hours would increase the potential for the infant to become dehydrated.

Answer to Question 2

2. Through telehealth, we can send your information to the cardiologist..

Rationale:
Through telehealth advances, clients who live in remote areas can have their information monitored by specialists using computers. Because of this technology, clients do not need to make frequent visits to specialists for monitoring and evaluation of progress. A client who has experienced a myocardial infarction does require monitoring. The intranet is used within an agency or system and is not a tool that can be accessed from the outside.