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25 Cards in this Set
- Front
- Back
Nursing diagnosis related to presence of mucus and retained lung field?
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ineffective airway clearance
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Nursing diagnosis related to evaporative, radiant, conductive, and convective heat losses?
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risk for altered body temperature
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Nursing diagnosis related to ineffective thermoregulation?
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altered peripheral tissue perfusion
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Nursing diagnosis related to vitamin K injection or heel sticks for glucose or hematocrit.
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acute pain
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Nursing diagnosis related to periodic breathing?
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risk for ineffective breathing pattern
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Nursing diagnosis related to limited nutritional or fluid intake and increased caloric expenditure?
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altered nutrition: less than body requirements
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Nursing diagnosis related to meatal edema secondary to circumcision?
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altered urinary elimination
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Nursing diagnosis related to umbilical cord healing, circumcision site, immature immune system, or potential birth trauma (forceps or vacuum extraction delivery)?
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Risk for infection
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Nursing diagnosis related to lack of information about basic baby care, male circumcision, and breast- and/or formula-feeding
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Health-Seeking Behaviors
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Nursing diagnosis related to integration of newborn into family unit or demands of newborn care and feeding
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altered family processes
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Call hcp when infant temperature reaches?
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above:
101 F rectally 100.4 F axillary below: 97 F rectally 97.8F axillary or if continual rise in temp (......97,100......) |
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Call hcp when infant experiences more than one episode of forceful vomiting or frequent vomiting over a
_______ ______ period. |
6 hour
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Call hcp when infant refuses to eat _______ in a row.
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twice
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Call hcp if infant lethargic or listless, with difficulty in awakening.
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okay
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Call hcp if infant cyanotic with or without a ________.
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feeding
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Call hcp if there is absence of breathing longer than _____ seconds.
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15
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Call hcp if infant inconsolable or there is a continuous _____-_____ cry.
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high-pitched
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Call hcp if mother has discharge or __________ from umbilical cord, circumcision, or any opening.
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bleeding
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Call hcp if there are two consecutive _______, ______ stools
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green, watery
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Call hcp if no wet diapers for _____ to _____ hours or fewer than _____ to _____
wet diapers per day after ____ days of age |
18 to 24
6 to 8 4 |
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Call hcp if there is drainage from the ______.
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eye
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Define circumcision?
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a surgical procedure in which the prepuce is separated from the glans penis and excised....permits exposure of glans for easy cleaning...Jews and Muslims..to look like father and to prevent later need for it...don't do if premature or compromised, has known bleeding problem, GI defect...use analgesia EMULA cream, dorsal penile nerve block, or subcutaneous ring block
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Define prepuce in male genitalia?
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epithelial layer covering the tip of the penis
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Some risks for circumcision?
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hemorrhage
infection difficulty in voiding separation of edges of circumcision pain restlessness |
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Nursing intervention for circumcised area using Plastibell?
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apply petroleum jelly and gauze..
apply pressure to light bleeding, call doctor if it gets worse.. keep using petroleum jelly to protect granulating tissue... report to hcp swelling, pus,cessation urination.. don't let diaper rub it and don't put it on too tight.. okay to give prescribed analgesics.. Bell should fall off in 8 days or call doctor.. continue with jelly |