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Author Question: An infant hospitalized with multiple fractures has just been diagnosed with osteogenesis imperfecta. ... (Read 55 times)

ishan

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An infant hospitalized with multiple fractures has just been diagnosed with osteogenesis imperfecta. The nurse finds the parents crying. Which response by the nurse is the most appropriate?
 
  A.
  I know how you feel. I would be upset to find this out too.
  B.
  There is medicine that can allow her to live a normal life.
  C.
  Would you like me to help you with holding your baby?
  D.
  You are actually lucky; many of these babies die at birth.

Question 2

A child in the intensive care unit with tetanus will be receiving a neuromuscular blocking agent. Which intervention takes priority for this child?
 
  A.
  Monitor urinary catheter output hourly.
  B.
  Provide stimulation from TV or radio.
  C.
  Turn patient every 2 hours.
  D.
  Provide ventilator care to prevent pneumonia.



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bob

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Answer to Question 1

ANS: C
Causing more injury to their child is a common concern among parents of children with osteogenesis imperfecta. The nurse needs to show them how to hold, change, feed, and play with their babies. In this situation, the caring nurse offers to help the parents learn to hold their baby and offers support. The nurse should never assume to know how someone else is feeling. Medications will not help this child lead a normal life. Stating that the parents are lucky is belittling their feelings.

Answer to Question 2

ANS: D
The child receiving a neuromuscular blocking agent is completely paralyzed and needs ventilator support. Proper care is important to prevent pneumonia. Monitoring urinary output and turning the patient are important, but do not take priority over breathing. The child needs a quiet environment free of excess stimulation.




bob

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