Author Question: A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. The nurse should ... (Read 109 times)

geoffrey · **on:** Jun 27, 2018

A nurse delegates the task of neonatal vital-sign assessment to a nurse technician. The nurse should instruct the technician to

1. report any neonate using abdominalmuscles to breathe.
2. report any neonate with apnea for 10 seconds.
3. count respirations for 15 secondsand multiply by 4 to get the rate for 1 minute.
4. report any neonate with a breathingpause that lasts 20 seconds or longer.

Question 2

The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. The nurse will know the parents understand the teaching if they state

1. We will call the physician for anyindication of ear pain.
2. We will plan on administeringacetam inophen (Tylenol) for pain.
3. We will be sure to give our childadequate amounts of citrus juices.
4. We will keep our child on bed restfor ten days after the surgery.

javimendoza7 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:4
Rationale: The abnormal assessment finding for vital signs that the nurse should instruct a nurse technician to report is any breathing pause by a neonate lasting longer than 20 seconds. This can indicate apnea and could lead to an apparent life-threatening event (ALTE). A breathing pause of 10 seconds or less is called periodic breathing and is a normal pattern for a neonate.Respiration s should be counted for 1 minute,not 15 seconds.It's normal for neonates to use abdominal muscles for breathing.

Answer to Question 2

Answer:2
Rationale: Acetaminophen (Tylenol) is recommended for pain after a tonsillectomy.Citru s juices should be avoided for the first week,because highly acidic foods and beverages can cause irritation.Ear pain four to eight days after a tonsillectomy may be experienced and does not indicate an ear infection. Children do not need to be confined to bed. They can return to school in ten days.