What is an important nursing responsibility when dealing with a ...

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What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?
 
  a. Discourage the parents from making a last visit with the infant.
  b. Make a follow-up home visit to the parents as soon as possible after the child's death.
  c. Explain how SIDS could have been predicted and prevented.
  d. Interview the parents in depth concerning the circumstances surrounding the child's death.

Question 2

What type of drug reduces hypertension by interfering with the production of angiotensin II?
 
  a. Diuretics
  b. Vasodilators
  c. Beta-blockers
  d. Angiotensin-converting enzyme (ACE) inhibitors

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Answer to Question 1

ANS: B
A competent, qualified professional should visit the family at home as soon as possible after the death. Printed information about SIDS should be provided to the family. Parents should be allowed and encouraged to make a last visit with their child. SIDS cannot always be prevented or predicted, but parents can take steps to reduce the risk (e.g., supine sleeping, removing blankets and pillows from the crib, and not smoking). Discussions about the cause only increase parental guilt. The parents should be asked only factual questions to determine the cause of death.

Answer to Question 2

ANS: D
ACE inhibitors act by interfering with the production of angiotensin II, which is a potent vasoconstrictor. Diuretics lower blood pressure by increasing fluid output. Vasodilators act on the vascular smooth muscle. By causing arterial dilation, blood pressure is lowered. Beta-blockers interfere with beta stimulation and depress renin output.

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