The nurse is preparing an educational in-service presentation about jaundice in the newborn
What content should the nurse include in this presentation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Physiologic jaundice occurs after 24 hours of age.
2. Pathologic jaundice occurs after 24 hours of age.
3. Phototherapy is required when bilirubin levels exceed 14.
4. The need for phototherapy depends on the bilirubin level and age of the infant.
5. Kernicterus causes irreversible neurological damage.
1,4,5
Rationale 1: Jaundice that occurs after 24 hours is physiologic.
Rationale 2: Jaundice that appears within 24 hours is pathologic.
Rationale 3: This might not be true, depending on a number of factors.
Rationale 4: Phototherapy need is determined by the bilirubin level and age of the infant.
Rationale 5: Kernicterus is the buildup of bilirubin in the gray matter cells of the brain. It causes irreversible neurological damage.
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What should a nurse assess when a patient comes from an extended family?
a. Multiple wage earners b. Three generations living together c. Children from previous marriages d. Parents of different ethnic origins
The nurse reminds the client who has received a heart transplant to change positions slowly. Why is this instruction a priority?
a. Rapid position changes can create shear and friction forces, which can tear out in-ternal vascular sutures. b. The new vascular connections are more sensitive to position changes, leading to increased intravascular pressure. c. The new heart is denervated and is unable to respond to decreases in blood pressure caused by position changes. d. The recovering heart diverts blood flow away from the brain when the client stands, increasing the risk for stroke.
A group of parish nurses affiliated with a number of faith-based communities located in different regions across the state are attending a quarterly meeting. Which of the following statements made by one of them indicates a lack of understanding of parish
a. "I always make sure to have new clients sign a release of information form to obtain their health record from their previous parish nurse." b. "Because I work for and within the church, I am immune from civil laws." c. "The pastor and I work together for the spiritual health of the community." d. "Yes, I am happy to pray with my clients and help them worship."
A patient is diagnosed with asthma. The primary care nurse practitioner (NP) prescribes an inhaled corticosteroid and an inhaled bronchodilator medication and provides education about how to use inhalers
At a follow-up visit 2 weeks later, the patient's pulmonary function tests are worse. The NP should: a. provide a detailed written asthma action plan for the patient. b. ask the patient to describe how the medications have been used. c. review the symptoms of an acute asthma exacerbation with the patient. d. teach the patient to use the albuterol more often and order an oral steroid.