The nurse is caring for a term infant born with a congenital diaphragmatic hernia. The nurse's assessment reveals respiratory distress, as evidenced by presence of cyanosis, ineffective breathing pattern and diminished breath sounds.
The realizes that the infant requires ventilatory support. The nurse positions the infant on left side with the head of bed elevated. What is the rationale for the nurse's action? a. The parents prefer the infant's head to be elevated.
b. Optimizes gas exchange of unaffected lung and helps to encourage down- ward displacement of the abdominal contents.
c. The infant prefers sleeping on the left side.
d. Provides reverse circulation so that fluids leave the lower extremities and return to the heart.
Question 2
A young married woman tells you that she is going to have a tubal ligation because there are two people with mental retardation in her husband's family, and she is afraid this problem will surface in her children.
Which of the following nursing diagnoses would best apply to this couple?
A) Spiritual distress related to inappropriate approach to the issue of having children
B) Sexual dysfunction related to the possibility of having a cognitively impaired child
C) Deficient knowledge of genetically inherited disorders
D) Anxiety related to an impending marriage
A nurse prepares a client for anesthesia and surgery.
The surgical nurse assists the client into the correct position
Nurse Sandy
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