ATI MED SURG PROCTORED TEST BANK (QUESTIONS AND CORRECT ANSWERS BEST FOR TEST PREPARATIONS)

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ATI MED SURG PROCTORED TEST BANK (QUESTIONS AND CORRECT ANSWERS BEST FOR TEST PREPARATIONS) 2501 A 26-weeks'-gestation neonate has received 80–100% oxygen via mechanical ventilation for two ... weeks, and has received several blood transfusions for anemia. The nurse should plan for which of the following interventions? 1)Begin phototherapy. 2)Schedule an eye exam by an ophthalmologist prior to discharge. 3)Discontinue oxygen immediately. 4)Administer surfactant via the endotracheal tube. CORRECT ANSWER:2 RATIONALE: This infant has been receiving high levels of oxygen for several weeks, and is at risk for retinopathy of prematurity (ROP). All preterm infants who receive oxygen should have a thorough eye exam done by an ophthamologist prior to discharge. It is important to administer the minimum amount of oxygen to infants, to decrease the risk that this condition will develop. Oxygen should be weaned, and not withdrawn suddenly. Artificial surfactant may be administered within the first several days of life to decrease the risk of respiratory distress syndrome (RDS). COGNITIVE LEVEL: Application CLIENT NEED: Physiological Integrity: Physiological Adaptation INTEGRATED PROCESS:Nursing Process: Planning CONTENT AREA: Maternal-Newborn STRATEGY: The core issue of the question is knowledge of the effects of long-term oxygen therapy for a neonate. Use nursing knowledge and the process of elimination to make your selection. 2502 The nurse is caring for an infant born to a mother who is HIV-positive. Which sign in the newborn should be evaluated further? 1)Absence of tears 2)White bumps on nose 3)Enlarged liver 4)Fine, red rash over trunk CORRECT ANSWER:3 RATIONALE: Hepatosplenomegaly (enlarged liver and spleen) can be an early sign of HIV infection in an infant. All other assessment data are within normal limits. COGNITIVE LEVEL: Application CLIENT NEED: Physiological Integrity: Physiological Adaptation INTEGRATED PROCESS:Nursing Process: Analysis CONTENT AREA: Maternal-Newborn STRATEGY: The core issue of the question is discriminating normal findings from abnormal findings in a newborn born to a mother who is HIV-positive. Use nursing knowledge and the process of elimination to make your selection. [Show More]

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