During an admission assessment, the nurse notes that the child ...

[frankwu]

During an admission assessment, the nurse notes that the child has impaired oral mucous membranes. Nursing interventions aimed at resolving the problem would be
 
  1. administering topical analgesics.
  2. promoting an adequate intake ofnutrients.
  3. administering antibiotics as ordered.
  4. using lemon and glycerin for oralhygiene

Question 2

The multiparous client at term has arrived to the labor and delivery unit in active labor with intact membranes. Leopold maneuvers indicate the fetus is in a transverse lie with a shoulder presentation. Which physician order is most important?
 
  1. Artificially rupture membranes.
  2. Apply internal fetal scalp electrode.
  3. Monitor maternal blood pressure every 15 minutes.
  4. Alert surgical team of urgent cesarean.

[upturnedfurball]

Answer to Question 1

Answer:2
Rationale: Adequate intake of fluids and nutrients promotes the intactness of the oral mucousal membrane tissue,which is the desired outcome for an impaired oral mucous membrane problem.Lemon and glycerin may dry the oral mucous membrane,which is not desirable. Administration of antibiotics or topical analgesics are medical interventions that might be performed but do not ensure that impaired tissue will be resolved.

Answer to Question 2

4
Explanation: 4. This is the highest priority because vaginal birth is impossible with a transverse lie. Labor should not be allowed to continue, and a cesarean birth is done quickly.

[frankwu]

Thank you

[upturnedfurball]

No problemo