Author Question: A premature newborn is being treated for respiratory distress syndrome. The nurse teaches the ... (Read 46 times)

geoffrey · **on:** Jul 23, 2018

A premature newborn is being treated for respiratory distress syndrome. The nurse teaches the parents about what adverse effect that can occur with the use of lung surfactants?

A) Kidney dysfunction
B) Cardiac arrhythmias
C) High fever
D) Collapsed lung

Question 2

The nurse assesses the patient's postoperative wound and determines that the wound is inflamed, most likely because of an infection, when noting what classic symptoms? (Select all that apply.)

A) Heat around the site of the wound
B) Redness around the site of the wound
C) Increase in reports of pain
D) Edema at the site of the wound
E) Serosanguineous drainage from the wound

ebonylittles · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Lung surfactants used therapeutically can cause many adverse effects including pneumothorax (collapsed lung), hypotension, pulmonary leak, hyperbilirubinemia, and sepsis. Other adverse effects may occur in the infant related to the degree of immaturity of the child's system and may not be related to the drug therapy. Options A, B, and C are not correct.

Answer to Question 2

A, B, C, D
Feedback:
Activation of the inflammatory response produces a characteristic clinical picture. Heat occurs because of the increased blood flow to the area. Swelling occurs because of the fluid that leaks into the tissues as a result of the change in capillary permeability. Redness is related to the increase in blood flow caused by the vasodilation. Pain comes from the activation of pain fibers by histamine and the kinin system.