A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?

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Question 1 of 5

A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?

Correct Answer: D

Rationale: Mechanical ventilation for 2 weeks is most consistent with bronchopulmonary dysplasia. Prolonged ventilation damages premature lungs, per neonatology. Growth retardation , meconium , and phototherapy are unrelated. D matches the etiology.

Question 2 of 5

A mother calls the clinic, concerned that her 5 week-old infant is 'sleeping more than her brother did.' What is the best initial response?

Correct Answer: C

Rationale: Why do you think this is a concern?' is best. It explores the mother's perception, guiding assessment, per pediatric nursing. Patterns and age are follow-ups, sleeping post-feeding is normal. C uncovers potential issues effectively.

Question 3 of 5

The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention?

Correct Answer: C

Rationale: Dyspnea requires immediate attention during central venous catheter placement. It suggests pneumothorax or air embolism, per critical care standards. Pallor , fever , and spasms are less urgent. C addresses a potentially fatal complication.

Question 4 of 5

A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia (MRSA). What type of isolation is most appropriate for this client?

Correct Answer: D

Rationale: Contact isolation is most appropriate for MRSA pneumonia. It prevents transmission via touch or surfaces, per infection control standards. Reverse protects the client, airborne is for TB, standard isn't enough. D matches MRSA spread.

Question 5 of 5

Which approach is the best way to prevent infections when providing care to clients in the home setting?

Correct Answer: A

Rationale: Handwashing before and after examination is the best way to prevent infections in home care. It's the cornerstone of infection control, per CDC guidelines, reducing pathogen spread. Gloves , barriers , and masks supplement but handwashing is primary. A ensures universal protection.

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