Megan is caring for a neonate. Megan assesses the possibility of ...

[joe]

Megan is caring for a neonate. Megan assesses the possibility of necrotizing enterocolitis (NEC) because the premie is exhibiting the generalized assessment of:
 
  1. Hypertonia, tachycardia, and metabolic alkalosis.
   2. Abdominal distention, temperature instability, and bloody stools.
   3. Hypertension, apnea, and ruddy skin color.
   4. No residual feedings and increased urinary output.

Question 2

A fellow nursing student feels offended because the mother of her patient is invading her personal space. Your peer states that the mom is a close talker and is right in my face.. You inform her that:
 
  1. The mom is wrong in invading her space.
   2. This might be a spacial norm for this mom's culture.
   3. She should just ignore it until clinical is over.
   4. She should tell the mom not to stand so close when talking.

[nekcihc358]

Answer to Question 1

2
Feedback
1. Metabolic alkalosis cannot be seen in a generalized assessment.
2. These are the cardinal signs of a neonate with a generalized assessment of necrotizing enterocolitis.
3. Hypotension usually occurs, along with the neonate appearing gray or pale in color.
4. Feedings will have a high residual and a decreased urinary output when necrotizing enterocolitis is developing.

Answer to Question 2

2
Feedback
1. The nurse does not understand the mother's culture.
2. Spatial differences in communication may be different between cultures.
3. The nurse should speak with the mother to discuss the spacial issues.
4. The nurse should discuss the issue with the mother.

[joe]

Thank you

[nekcihc358]

Happy to help you