A nurse is caring for a neonate in the neonatal intensive care unit.

Exhibits

The nurse is reviewing the neonate's electronic medical record.

Drag words from the choices below to fill in each blank in the following sentence.

Following discontinuation of feedings, the nurse should monitor for

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.

Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.

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Correct Answer is C

Explanation

A. Hypotension is a concern but may occur for various reasons and is not as immediately life-threatening as dyspnea.

B. Tachycardia can indicate a problem but is less urgent than respiratory distress.

C. Dyspnea is the priority as it may indicate a recurrence of pulmonary embolism or another life-threatening respiratory issue.

D. A dry cough is a less urgent symptom and does not require immediate reporting.

A. Noting changes in the treatment plan in the client's medical record B. Having interdisciplinary team meetings for the client on a regular basis C. Recording the client's progress in the nurses' notes D. Posting swallowing precautions at the head of the client's bed E. None F. None

Correct Answer is B

Explanation

A. While noting changes in the medical record is important, it doesn’t specifically address communication between staff members.

B. Having interdisciplinary team meetings on a regular basis ensures that all healthcare providers involved in the client’s care are informed of the current treatment plan, goals, and changes. This promotes communication and collaboration across disciplines, which is especially important in the care of clients with conditions like expressive aphasia.

C. Recording progress in the nurses’ notes is important, but it alone does not foster active communication between different team members.

D. Posting swallowing precautions is important for the safety of the client but doesn’t address the need for better communication among the team.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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A nurse is caring for a neonate in the neonatal intensive care unit. Q122 Exhibits Which findings in the client's electronic medical record (EMR) are risk factors for the client developing a complication? Select all that apply.

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