RN HESI PAEDIATRICS Exam 2
RN HESI PAEDIATRICS Exam 2 ( 48 Questions)
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased during the last hour. Which intervention should the nurse implement?
reason:
Administer a prescription for a PRN analgesic: While pain management is important, an increase in respiratory rate and heart rate could indicate other potential issues, such as respiratory distress or other complications. Administering an analgesic may not address the underlying cause of the increased vital signs and could potentially mask important clinical information.
reason:
Wrap the infant tightly and rock in a rocking chair: This action is unlikely to address the potential underlying issue causing the increase in vital signs. It's important to prioritize a comprehensive assessment and appropriate medical intervention.
reason:
Record the findings in the child's record: Recording the findings is an important step, but it does not address the immediate need for clinical assessment and intervention if the infant is experiencing distress.
reason:
Notify the healthcare provider of these findings. An increase in both respiratory rate and heart rate in a postoperative neonate can be indicative of potential complications or distress. It's important to communicate these changes to the healthcare provider promptly so that further assessment and appropriate interventions can be initiated if necessary.
