reduction of risk potential.docx - Question 1 See full...

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Question 1 See full question A neonate born at 40 weeks' gestation admitted to the nursery is found to be hypoglycemic. At 4 hours of age, the neonate appears pale and his pulse oximeter is reading 75% on room air. The nurse should: You Selected: provide supplemental oxygen Correct response: provide supplemental oxygen Explanation: Recommended pulse oximetry reading in a full-term neonate is 95% to 100%. The saturation reading of only 75% is an indication that the neonate is not adequately oxygenating in room air. Providing supplemental oxygen will increase the neonate’s oxygen saturation. Increasing the IV rate will not improve the oxygen saturation. Documenting the finding and taking no action is not appropriate with a saturation of 75%. Wrapping and increasing the body temperature of the neonate may increase the saturation reading only if it is inaccurate due to cold extremities. Caution must be used because overheating a neonate can be harmful. Question 2 See full question The most appropriate toys to give to a 5-month-old infant are: You Selected: soft, washable toys. Correct response: soft, washable toys. Explanation: Soft, washable toys are appropriate for infants, who tend to place everything in their mouths. These toys are not harmful. Plastic toys cannot be manipulated by a child of this age, and the child would put the car in the mouth, which may not be safe due to small parts that may be swallowed or aspirated. Games and puzzles are too advanced for a 5-month-old, and the child could put the pieces in the mouth and swallow them. Some stuffed animals have eyes that can be swallowed or aspirated. Question 3 See full question A client with an infected abdominal wound must be placed on contact precautions for 10 days. What should the nurse do to help meet the client's emotional needs?
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You Selected: Describe why the client is on contact precautions and what will occur there, and reassure the client. Correct response: Describe why the client is on contact precautions and what will occur there, and reassure the client. Explanation: To meet the client's need for information and help reduce his anxiety, the nurse should describe the reasons for contact precautions and how they are carried out and should also provide reassurance and empathy. To reduce the client's feelings of isolation, visitors should be allowed to spend time with him or telephone. The client needn't limit his movements while on contact precautions. Unnecessary personal items usually aren't permitted when a client is on contact isolation. Question 4 See full question On observing a parent propping a bottle for a 2-month-old child in the waiting room, the nurse explains the dangers to the parent. Which statement indicates that the parent has understood the nurse’s teaching?
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