Author Question: The nurse manager at a family clinic is identifying ways to address the 2020 National Health Goals ... (Read 38 times)

ahriuashd · **on:** Jun 27, 2018

The nurse manager at a family clinic is identifying ways to address the 2020 National Health Goals for the prevention of birth defects. Which action should the manager encourage all staff to perform when caring for pregnant patients?

A) Avoid extreme physical activity and exercise.
B) Monitor daily intake of calcium and dairy products.
C) Stress the importance of taking prenatal folic acid as prescribed.
D) Ensure adequate hydration by drinking eight glasses of water each day.

Question 2

A newborn with esophageal atresia has just returned from surgery to place a gastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for this patient?

A) Risk for imbalanced nutrition
B) Risk for deficient fluid volume
C) Risk for impaired skin integrity
D) Risk for ineffective gas exchange

gcook · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
: Nurses can help the nation achieve the 2020 National Health Goals by urging patients to enter pregnancy with an adequate folic acid level. Extreme physical activity, exercise, calcium, and water are not identified interventions to prevent birth defects in the developing fetus.

Answer to Question 2

C
Feedback:
: The patient is at risk for impaired skin integrity related to gastrostomy tube insertion site. Acidic gastric secretions can leak onto the skin from the gastrostomy site, leading to skin irritation. The nurse should plan interventions to protect the skin by using a cream or commercial skin protection system or consult with a wound, ostomy, and continence therapy nurse to reduce the possibility of skin irritation and infection. With the placement of the gastrostomy tube, the patient is at less risk for imbalanced nutrition and deficient fluid volume. The gastrostomy tube will not affect the patient's gas exchange.