A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation.
Which of the following actions should the nurse take
Diagnostic results
Escherichia coli infection resulting in necrotizing enterocolitis Hgb 10g/dL
Platelet count 50,000 mm
WBC count 4,000 mm3
The Correct Answer is A
The nurse should insert an orogastric decompression tube with low wall suction. The newborn has Escherichia coli infection resulting in necrotizing enterocolitis, which can cause abdominal distention, decreased activity level, and bloody stools. The newborn also has a superficial rash on the abdominal wall, which may indicate a bacterial infection. The presence of a fist clenching, thrashing, and crying during light palpation of the
abdomen may indicate pain caused by bowel distention. An orogastric decompression tube with low wall suction can help decompress the bowel and relieve abdominal distention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Uterine atony is a condition in which the uterus is not contracting effectively following delivery, which can lead to postpartum hemorrhage. Oxytocin is the first-line medication used to stimulate uterine contractions, but if the client fails to respond to oxytocin, the nurse should anticipate the use of a second-line medication, such as methylergonovine. Terbutaline is a tocolytic medication used to stop contractions, not stimulate them. Betamethasone is a corticosteroid used to promote fetal lung maturity before preterm delivery. Hydralazine is a vasodilator used to treat hypertension, not uterine atony.
Correct Answer is A
Explanation
The correct answer is choice A: Fortified soy milk. Vitamin B12 is found in animal products, so vegans are at risk of vitamin B12 deficiency. Fortified soy milk is a good source of vitamin B12 for vegans.
Choice B, brown rice, choice C, fresh citrus fruits, and choice D, raw carrots, are not good sources of vitamin B12.
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