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.
Rationale 2: Physiologic jaundice is normal, but will need to be treated. Phototherapy might be required if the serum bilirubin level increases by more than 0.2 mg/dl per hour.
Rationale 3: Newborns with a bilirubin of 20 mg/dl or above might need a blood exchange transfusion.
Rationale 4: The newborn may continue to breastfeed.
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Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location in documentation is referred to as:
a. retroperitoneal. b. diaphragm-vertebral. c. costovertebral. d. urachal-peritoneal.
The nurse is caring for four patients. Which patient would have the highest risk for hepatotoxicity from dantrolene (Dantrium)?
A) An 87-year-old man who is taking a cardiac glycosideh B) A 32-year-old man who is taking an antipsychotic drug C) A 65-year-old woman who is on hormone replacement therapy D) A 48-year-old woman who is taking an antihypertensive agent
The nurse should not maintain eye contact with a Korean patient because many Asians believe prolonged eye contact is _____________
Fill in the blank(s) with correct word
The nurse prepares a narcotic analgesic for the client. When the nurse enters the client's room to administer the medication, the client drops the capsule on the floor. Which action by the nurse is the most appropriate?
1. Wipe it off and administer it anyway because it's a narcotic. 2. Throw the pill in the trash can in the client's room and get a replacement. 3. Discard the tablet according to facility policy, with another nurse cosigning the waste, and obtain a new capsule to administer to the client. 4. Discard the tablet according to facility policy, with the unlicensed assistive personnel cosigning the waste, and obtain a new capsule to administer to the client.