Author Question: The nurse is teaching about how to administer nasal drops. Which of the following response by the ... (Read 93 times)

formula1

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The nurse is teaching about how to administer nasal drops. Which of the following response by the parents indicates a need for further teaching?
 
  A) We need to be careful not to stimulate a sneeze.
  B) She needs to remain still for at least 10 minutes after administration.
  C) Our daughter should lie on her back with her head hyperextended.
  D) We must not let the dropper make contact with the nasal membranes.

Question 2

The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:
 
  A) Have a smaller body surface compared to body mass
  B) Lose more body heat when they sweat than adults
  C) Have an abundant amount of subcutaneous fat all over
  D) Are unable to shiver effectively to increase heat production



cswans24

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Answer to Question 1

B
Response:
Once the drops are instilled, the child should remain in hyperextension for at least 1 minute to ensure the drops have come in contact with the nasal membranes, but 10 minutes would be excessive. The other statements are correct.

Answer to Question 2

D
Response:
Newborns have difficulty maintaining their body heat through shivering and other mechanisms. They have a large body surface area relative to body weight and have limited sweating ability. Additionally, newborns lack subcutaneous fat to provide insulation.



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