A toddler is admitted to the surgical unit for planned closure of ...

[swpotter12]

A toddler is admitted to the surgical unit for planned closure of the temporary colostomy. The nurse completes the admission assessment and reviews the medical orders. Which order should the nurse question?
 
  1. Clear liquids today. NPO tomorrow
  2. Type and cross-match for one unit of packed red blood cells.
  3. Rectal temperatures every four hours
  4. Start an intravenous line with D5NS at 20 ml per hour.

Question 2

The home health nurse is concerned that the teenage mother tends to watch television while feeding the baby rather than talking and playing with her baby.
 
  Which statement by the nurse will most likely encourage the mother to talk and play with the baby more? 1. Babies who are talked to more have higher IQs later on.
  2. You should talk to your baby more.
  3. Watch how I talk to the baby and see if you can follow my lead.
  4. Have you noticed how your baby looks at you when you speak? You can see how he knows your voice.

[Jody Vaughn]

Answer to Question 1

3
Rationale 1: This is appropriate in anticipation of surgery.
Rationale 2: Although not always required during surgery, this would not be inappropriate planning for the surgical procedure.
Rationale 3: Rectal temperatures are avoided due to the fragile state of the rectum.
Rationale 4: An IV is appropriate for surgical access.
Global

Answer to Question 2

4
Rationale 1: Although speaking to the baby is important for development, there is no guarantee that the baby will have a higher IQ.
Rationale 2: Teenagers often rebel against authority figures. This statement comes across as instruction and may not be accepted by the mother.
Rationale 3: Teenagers do not like to be told what to do.
Rationale 4: This reinforces to the mother that the baby responds to her and may encourage the mother to talk to the baby more.
Global Rationale: