The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dL to 16.6 mg/dL in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe.
2. Begin phototherapy.
3. Begin blood exchange transfusion.
4. Stop breastfeeding.
2
Rationale:
1. Physiologic jaundice is normal, but will need to be treated, and might require phototherapy if the serum bilirubin level increases by more than 0.2 mg/dL per hour.
2. Physiologic jaundice is normal, but will need to be treated, and might require phototherapy if the serum bilirubin level increases by more than 0.2 mg/dL per hour.
3. Newborns with a bilirubin of 20 mg/dL or above might need a blood exchange transfusion.
4. Newborns may continue to breastfeed.
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The nurse is developing a plan of care for a client who is at risk for falls. Which interventions would be appropriate for the nurse to include in the plan of care?
Select all that apply. A) Apply physical restraints if the client gets out of bed. B) Assess the client's vision and make sure he is utilizing any prescribed eyewear. C) Utilize side rails on client beds. D) Keep frequently used items within easy reach.
A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold symptoms. Which response by the nurse is correct?
a. "Benadryl must be given in higher doses to provide relief for cold symptoms." b. "Intranasal glucocorticoids are more ef-fective for treating cold symptoms." c. "Nasal antihistamines are more effective for treating cold symptoms." d. "Because histamine doesn't cause cold symptoms, Benadryl would not be effec-tive."
Phase _____ is voluntary and involves post-market surveillance of drug's therapeutic effects
a. I b. II c. III d. IV
Which nursing activities represent the tertiary level of mental health care? Select all that apply
a. Providing a depression screening at a local college b. Helping a mental-challenged patient learn to make correct change c. Reporting an incidence of possible elder abuse to the appropriate legal agency d. Regularly assessing a patient's understanding of their prescribed antidepressants e. Providing a 6-week parenting class to teenage parents through a local high school