Author Question: The nurse is caring for four clients. The client with the highest risk of developing retinopathy of ... (Read 61 times)

torybrooks · **on:** Jun 27, 2018

The nurse is caring for four clients. The client with the highest risk of developing retinopathy of prematurity is the

1. 30-week-gestation infant who was in an oxyhood for 12 hours and weighed 1800 grams.
2. 32-week-gestation infant who needed no oxygen and weighed 1850 grams.
3. 28-week-gestation infant who has been on long-term oxygen and weighed 1400 grams.
4. 28-week-gestation infant who was on short-term oxygen and weighed 1420 grams.

Question 2

When general anesthesia is necessary for a cesarean delivery, the nurse should be prepared to: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Administer an antacid to the patient.
2. Place a wedge under the left hip.
3. Apply cricoid pressure during anesthesia intubation.
4. Preoxygenate for 35 minutes before anesthesia.
5. Place a Foley catheter in the patient's bladder.

cici · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:3
Rationale: The 28-week infant on oxygen weighing 1400 grams has the highest risk of retinopathy of prematurity because of gestational age (28 weeks or less), weight (less than 1500 g),and oxygen therapy. The other neonates have fewer risk factors.

Answer to Question 2

1,3,4,5
Rationale 1: An antacid will help empty the stomach and decrease the risk of complications if aspiration occurs.
Rationale 2: A wedge is placed under the right hip, not the left hip.
Rationale 3: Cricoid pressure will assist anesthesia with intubation.
Rationale 4: Preoxygenating prior to anesthesia will maximize oxygen to the fetus.
Rationale 5: A Foley catheter needs to be placed to keep the bladder empty and out of way of the uterus.