The main objective of treatment of hyperbilirubinemia is to reduce the amount of which element in the infant's blood?
a. conjugated bilirubin c. unconjugated bilirubin
b. lumirubin d. urobilinogen
C
Hyperbilirubinemia is jaundice that results from excessive bilirubin and deposition of bile pigments. High levels can cause severe neural symptoms or kernicterus. Assess for jaundice by applying pressure on the skin over the tip of the nose or sternum in natural daylight. For dark-skinned infants, assess the sclera, conjunctiva, and oral mucosa. Treatment includes the reduction of the amount of unconjugated bilirubin.
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A 15-year-old patient returns to the pediatric unit following a lumbar puncture. What initial position will the nurse maintain for this patient?
a. Left side-lying b. Supine c. Prone d. Semi-Fowler's
A staff nurse continually tells sexually explicit jokes during shift report and frequently focuses those jokes on a newly hired nursing assistant. Who can make the charge of sexual harassment against this staff nurse?
1. Only the nursing assistant. 2. Only the staff nurse's supervisor. 3. Anyone affected by the offensive material. 4. Any person who hears the jokes.
A patient's physical mobility is impaired because of paralysis of both lower extremities. Which is the best method for the nurse to use to place the patient in semi-Fowler's position?
a. Help the patient push up in bed by bend-ing his or her knees. b. Raise the head of the bed to 45 degrees and pull the patient to it. c. Roll the patient to one side using pillows to support his or her back. d. Pull the patient to the head of the bed (HOB) using a drawsheet and then raise the HOB.
The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. While assessing the client, the nurse notes that the bag attached to the mask is deflated. Which is the nurse's best action?
A. Document it as functioning normally. B. Decrease the flow of oxygen to the mask. C. Increase the flow of oxygen to the mask. D. Prepare for endotracheal intubation.