Early physiologic jaundice in the breastfeeding newborn is managed by
a. giving glucose water within 1 hour after birth
b. encouraging early and frequent breastfeeding
c. supplementing with formula until breast milk is established
d. withdrawing all breast milk since it is asso-ciated with this abnormality
B
Early and frequent breastfeeding helps manage early physiologic jaundice, because colostrum is a natural laxative and promotes the excretion of meconium and bilirubin, thus decreasing bilirubin levels.
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A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?
a. It blocks the release of luteinizing hormone. b. It interferes with cancer cell division. c. It selectively blocks estrogen in the breast. d. It inhibits DNA synthesis in rapidly dividing cells.
When caring for a patient with a cardiac dysrhythmia, the most appropriate goal for the patient is to maintain:
A) Nutritional intake B) Fluid intake C) Cardiac output D) Social contacts
The nurse recognizes that, although the new parents did not attend classes to learn about their newborn before the baby was born, they may be ready to learn this new information after the birth
What understanding leads the nurse to this conclusion? a. The baby will not be discharged until the parents have the training. b. The nurses on the mother-baby division do a better job of teaching baby care. c. The parents now have the motivation to learn because the baby has been born. d. The parents have no choice at this point.
The nurse is aware that a patient with osteomalacia who is being treated with vitamin D supplements may be at risk for which of the following?
A) Hypercalcemia B) Hypernatremia C) Hypermagnesemia D) Hyperchloremia