An infant has been NPO for surgery for 4 hours, and does not have ...

[jrubin]

An infant has been NPO for surgery for 4 hours, and does not have an intravenous line. The nurse receives a call from the operating room with the information that the surgery has been postponed due to an emergency.
 
  Which is the priority action for the nurse? 1. Feed the infant 4 ounces of formula.
  2. Reassure the parents that it will not be much longer before surgery.
  3. Allow the parents to feed the infant an ounce of oral rehydration solution.
  4. Call the physician to see if the infant needs to have an intravenous line started.

Question 2

In planning care for women with preeclampsia, nurses should be aware that:
 
  a. Induction of labor is likely, as near term as possible.
  b. If at home, the woman should be confined to her bed, even with mild preeclampsia.
  c. A special diet low in protein and salt should be initiated.
  d. Vaginal birth is still an option, even in severe cases.

[briezy]

Answer to Question 1

4
Rationale:
1. It is best to keep the infant NPO and consult the physician to see if an intravenous line is needed. The infant who is NPO is at high risk for dehydration. The nurse does not know how much longer it will be before surgery. The nurse cannot make the decision to feed the infant independently. Feeding the infant could postpone the surgery further should an operating room become available sooner than expected.
2. It is best to keep the infant NPO and consult the physician to see if an intravenous line is needed. The infant who is NPO is at high risk for dehydration. The nurse does not know how much longer it will be before surgery. The nurse cannot make the decision to feed the infant independently. Feeding the infant could postpone the surgery further should an operating room become available sooner than expected.
3. It is best to keep the infant NPO and consult the physician to see if an intravenous line is needed. The infant who is NPO is at high risk for dehydration. The nurse does not know how much longer it will be before surgery. The nurse cannot make the decision to feed the infant independently. Feeding the infant could postpone the surgery further should an operating room become available sooner than expected.
4. It is best to keep the infant NPO and consult the physician to see if an intravenous line is needed. The infant who is NPO is at high risk for dehydration. The nurse does not know how much longer it will be before surgery. The nurse cannot make the decision to feed the infant independently. Feeding the infant could postpone the surgery further should an operating room become available sooner than expected.

Answer to Question 2

A

Feedback
A However, at less than 37 weeks of gestation, immediate delivery may not be in the best interest of the fetus.
B Strict bed rest is becoming controversial for mild cases; even some women staying in the hospital because of preeclampsia are allowed to move around.
C Diet and fluid recommendations are much the same as for healthy pregnant women, although some authorities have suggested a diet high in protein.
D Women with severe preeclampsia should expect a cesarean delivery.