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A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?

Calcium

Iron

Zinc

Folate

Answer and Explanation

The Correct Answer is D

A. Calcium is essential for bone health but does not directly prevent neural tube defects.

B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.

C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.

D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.

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

Explanation

Bowel perforation is a serious complication that can occur as a result of necrotizing enterocolitis (NEC), which is a condition often seen in preterm infants. In NEC, the intestines become inflamed and can eventually rupture, leading to bowel perforation. The neonate's symptoms, including abdominal distention, firm abdomen, decreased bowel sounds, and a small amount of blood in the stool, are consistent with NEC. The abdominal x-ray showing marked distention of the intestine further supports this diagnosis.

Necrotizing enterocolitis (NEC) is a common and life-threatening condition in preterm infants (like this neonate born at 34 weeks gestation), particularly those receiving enteral feedings. It can lead to bowel perforation, sepsis, and other serious complications.

A. Ensure that the transfusion is completed within 6 hr. B. Obtain venous access using a 22-gauge needle. C. Store the unit of blood at room temperature for 1 hr prior to the infusion. D. Use a solution of 0.9% sodium chloride to flush the transfusion tubing.

Correct Answer is D

Explanation

A. Ensure that the transfusion is completed within 6 hr: Incorrect. Blood transfusions should be completed within 4 hours to reduce the risk of bacterial contamination.

B. Obtain venous access using a 22-gauge needle: Incorrect. A larger gauge (18-20) is preferred to prevent hemolysis and allow for faster administration.

C. Store the unit of blood at room temperature for 1 hr prior to the infusion: Incorrect. Blood should remain refrigerated until it is ready to be transfused, and it should be started within 30 minutes of removal from refrigeration.

D. Use a solution of 0.9% sodium chloride to flush the transfusion tubing: 0.9% sodium chloride is the only compatible solution with blood products to prevent hemolysis.

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A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a neonate in the neonatal intensive care unit. Exhibits Complete the following sentence by using the lists of options. The neonate is most at risk for _____ due to ______

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

Explanation

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Correct Answer is D

Explanation

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