Asked by Ginny Aldrich on Apr 28, 2024
Verified
The nurse is caring for a newborn receiving an exchange transfusion for hemolytic disease. Assessment of the newborn reveals slight respiratory distress and tachycardia. Which should the nurse's first action be?
A) Notify practitioner.
B) Stop the transfusion.
C) Administer calcium gluconate.
D) Monitor vital signs electronically.
Exchange Transfusion
A medical procedure in which small amounts of a patient's blood are removed and replaced with donor blood or plasma, frequently used to treat severe jaundice or poisoning.
Hemolytic Disease
A condition where there is an abnormal breakdown of red blood cells, either inherited or acquired, leading to anemia and other related symptoms.
Tachycardia
Tachycardia is a condition characterized by an abnormally high heart rate, typically defined as over 100 beats per minute in adults.
- Identify the risks and complications associated with specific neonatal conditions such as severe jaundice, drug withdrawal, and exposure to maternal substance use during pregnancy.
Verified Answer
DR
Dayne RangelMay 05, 2024
Final Answer :
B
Explanation :
When signs of cardiac or respiratory problems occur, the procedure is stopped, and the newborn's cardiorespiratory status is allowed to stabilize. The practitioner is usually performing the exchange transfusion with the nurse's assistance. The procedure must be stopped so the newborn can stabilize. Respiratory distress and tachycardia are signs of cardiorespiratory problems, not hypocalcemia. Calcium gluconate is not indicated. The vital signs should be monitored electronically throughout the entire procedure.
Learning Objectives
- Identify the risks and complications associated with specific neonatal conditions such as severe jaundice, drug withdrawal, and exposure to maternal substance use during pregnancy.