RN HESI Paediatrics Exam 2
RN HESI Paediatrics Exam 2 ( 53 Questions)
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in plan of care?
Ensuring placement of the enteral tube with an abdominal x-ray is crucial in this situation. Infants with gastroschisis may have had surgical repairs, and it's important to confirm that the enteral tube is correctly positioned in the gastrointestinal tract to prevent complications and ensure the infant is receiving the enteral feedings as intended.
Speaking to the healthcare provider about instituting physical therapy may be a valuable consideration for the infant's overall care, but it is not directly related to maintaining growth and development in the context of enteral feedings and gastroschisis.
Offering a pacifier for non-nutritive sucking can be comforting to the infant but is not directly related to maintaining growth and development in the context of enteral feedings.
Using sterile technique during feedings is important for infection prevention but may not be the primary concern when the infant is receiving continuous enteral feedings. Ensuring correct tube placement with an abdominal x-ray is the primary action for maintaining normal growth and development in this case.
A. Ensuring placement of the enteral tube with an abdominal x-ray is crucial in this situation. Infants with gastroschisis may have had surgical repairs, and it's important to confirm that the enteral tube is correctly positioned in the gastrointestinal tract to prevent complications and ensure the infant is receiving the enteral feedings as intended.
B. Speaking to the healthcare provider about instituting physical therapy may be a valuable consideration for the infant's overall care, but it is not directly related to maintaining growth and development in the context of enteral feedings and gastroschisis.
C. Offering a pacifier for non-nutritive sucking can be comforting to the infant but is not directly related to maintaining growth and development in the context of enteral feedings.
D. Using sterile technique during feedings is important for infection prevention but may not be the primary concern when the infant is receiving continuous enteral feedings. Ensuring correct tube placement with an abdominal x-ray is the primary action for maintaining normal growth and development in this case.