« previous next »

Author Question: A preterm infant in the NICU is receiving oxygen, and the nurse notes that the oxygen saturation is ... (Read 128 times)

EAugust

  • Hero Member
  • *****
  • Posts: 550
on: Jun 28, 2018
A preterm infant in the NICU is receiving oxygen, and the nurse notes that the oxygen saturation is 98. Which action by the nurse is most appropriate?
 
  A.
  Call respiratory therapy to draw an arterial blood gas.
  B.
  Document the findings and continue to monitor.
  C.
  Lower the infant's oxygen concentration and reassess.
  D.
  See if the infant can tolerate more stimulation and activity.

Question 2

A woman gave birth to an infant weighing 390 g. Which action by the NICU charge nurse is most appropriate?
 
  A.
  Begin the discharge planning process when the child is admitted.
  B.
  Consult social services to help make arrangements for home care.
  C.
  Consult the palliative care team and admit the infant for comfort care.
  D.
  Prepare for aggressive resuscitation and admission to the NICU.


ebonylittles

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
Preterm infants receiving oxygen should only receive the amount of oxygen needed to maintain an oxygen saturation of greater than 92, due to the risk of developing retinopathy of prematurity (ROP). Because this baby's O2 saturation is well above this reading, the nurse can try to reduce the flow and reassess. ABGs are not warranted. The nurse should document the findings, but further action is needed. Assessing activity tolerance is an ongoing assessment and is not related to preventing ROP.

Answer to Question 2

ANS: C
Very premature infants present moral and ethical dilemmas regarding their care. According to the International Liaison Committee on Resuscitation, infants born at less than 23 weeks' gestation or weighing less than 400 g are not candidates for resuscitation. The nurse should plan to admit this infant for comfort care only. The other options are not warranted.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

EAugust

  • Hero Member
  • *****
  • Posts: 550
Reply #2 on: Jun 28, 2018
Thank you


ebonylittles

  • Sr. Member
  • ****
  • Posts: 318
Reply #3 on: Jun 28, 2018
No problemo


« previous next »
 

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Nurse bees tending to brood in cells both open and capped with beeswax. Nurse bees tending to brood in cells both open and capped with beeswax.
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Maternity NCLEX Notes Maternity NCLEX Notes
When the propane is shut off, the oxygen sensor should read below 200 mV. When the propane is shut off, the oxygen sensor should read below 200 mV.
The generation, removal, and role of reactive oxygen species (ROS) in cell injury The generation, removal, and role of reactive oxygen species (ROS) in cell injury
Video: Structures that affect circulation - kidneys and blood volume and skeletal muscle pumping

For a complete list of videos, visit our video library