Deck 4: Neonatal, Pharmacological, and Reduction of Risk

Question 1

Prior to surgery to relieve an intestinal obstruction, 3-month-old is kept NPO and has a nasogastric tube in place. To calm, as well as meet the infant's developmental needs best, the nurse should:

A)Allow the infant to suck on a pacifier
B)Allow the infant to hold onto a favorite toy
C)Hang a brightly colored mobile in the infant's crib
D)Place the infant on the abdomen and permit crawling

Answer 1

Allow the infant to suck on a pacifier

Question 2

A nurse is preparing to administer total parenteral nutrition to a client with a severely dysfunctional gastrointestinal tract. Which of the following actions of the nurse is inappropriate?

A)Change of TPN solution every 12 to 24 hours
B)IV medications and blood are given through the TPN line
C)Adding insulin to the TPN solution
D)Use of strict aseptic technique

Answer 2

IV medications and blood are given through the TPN line

Question 3

A nurse is caring for a client diagnosed with chronic pancreatitis. When reviewing the laboratory results, which of the following serum amylase levels would the nurse expect?

A)50 units/L
B)20 units/L
C)100 units/L
D)500 units/L

Answer 3

500 units/L

Question 4

A nurse aspirates the client's stomach contents and checks the contents' pH before tube feeding. The nurse confirms the tube placement is correct when the pH level reads:

A)pH 2.7
B)pH 4.5
C)pH 7.0
D)pH 8.0

Question 5

A nurse is preparing to remove the nasogastric tube of Hannah, a 67-year-old client. The nurse should instruct the client to do which of the following just before removing the tube?

A)Slowly breathe out
B)Slowly breathe in
C)Quickly breath in and then breathe out
D)Hold her breath