Asked by Whitney Clark on Apr 24, 2024

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The nurse in the neonatal intensive care unit is caring for an infant with myelomeningocele scheduled for surgical repair in the morning. Which early signs of infection should the nurse monitor on this infant? (Select all that apply.)

A) Temperature instability
B) Irritability
C) Lethargy
D) Bradycardia
E) Hypertension

Myelomeningocele

A type of spina bifida where there is a protrusion of the spinal cord and its coverings through a gap in the spine, causing neurological problems.

Infection Signs

Observable indicators of infection in the body, which may include redness, heat, swelling, pain, and loss of function.

Temperature Instability

The condition of having body temperature that fluctuates beyond the normal range, often found in newborns.

  • Explain typical complications and suitable nursing interventions for myelomeningocele.
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JA
Jasmine AlmarazApr 30, 2024
Final Answer :
A, B, C
Explanation :
The nurse should observe an infant with unrepaired myelomeningocele for early signs of infection, such as temperature instability (axillary), irritability, and lethargy. Bradycardia and hypertension are not early signs of infection in infants.