Practice Quiz

CCRN Critical Care Nursing

Category - Neonatal

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Baby Daniel us 36 hours old and has been brought into the Emergency Department with a temperature of 97.0 F. What immediate action should triage nurse?
  1. Recheck his temperature in 2 hours.
  2. Wrap him up in 3 warm blankets and cuddle him.
  3. Give him a warm bottle of milk.
  4. Wrap him up in 3 warm blankets and place a cap on his head
Explanation
Answer: D - The immediate action the triage nurse should do for baby Daniel, who is 36 hours old with a temperature of 97.0 F, is to wrap him up in 3 warm blankets and place a cap on his head. This is to prevent hypothermia which is a severe consequence of a low temperature in newborns. A cap on the head is necessary as much thermal heat is lost from the head more than any other body part.
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