A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply
hyperthermia
low Apgar scores
preterm birth
respiratory distress syndrome
exchange transfusion
hyperglycemia
Correct Answer : B,C,D,E
A. Hyperthermia is not typically associated with an increased risk of necrotizing enterocolitis.
B. Low Apgar scores indicate that the baby had difficulty adapting to life outside the womb and may have suffered from hypoxia or acidosis.
C. Preterm birth is a significant risk factor for necrotizing enterocolitis.
D. Respiratory distress syndrome is associated with prematurity and is a risk factor for necrotizing enterocolitis.
E. Exchange transfusion, a procedure often performed in neonates with severe jaundice or anemia, is associated with an increased risk of necrotizing enterocolitis.
F. Hyperglycemia is not typically associated with an increased risk of necrotizing enterocolitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Increased physical growth is not directly related to the prevalence of adolescent injuries.
B. Peer pressure can influence adolescents to engage in risky behaviors, leading to an increased risk of injuries.
C. Insufficient psychomotor coordination, particularly during periods of rapid growth, can contribute to the risk of injuries in adolescents.
D. Inexperience, particularly in activities such as driving or sports, can increase the risk of injuries among adolescents.
E. Lack of impulsivity is not typically associated with an increased risk of adolescent injuries.
F. Tiredness and lack of energy may affect overall well-being but are not specifically related to the prevalence of adolescent injuries.
Correct Answer is A
Explanation
A. This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B. Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C. Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D. The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.
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