A newborn is receiving phototherapy. Which intervention would be most important?
1. Measurement of head circumference
2. Encouraging the mother to stop breastfeeding
3. Stool guaiac testing
4. Assessment of hydration status
4
Rationale:
1. Phototherapy does not alter head circumference.
2. Breastfeeding most likely can be continued.
3. The stools do not need to be tested for blood (guaiac testing).
4. Newborns being treated for jaundice experience a fluid volume deficit due to an increase in insensible water loss and frequent loose stools.
You might also like to view...
__________ involves talking with a psychiatrist, psychologist, clinical nurse specialist, or mental health counselor
Fill in the blank(s) with correct word
Which of the following medical advancements was highlighted during the era of World War II?
A) Anesthesia was introduced. B) Blood transfusions treated blood loss. C) Vaccines were proven unsafe. D) Chronic disease treatment was implemented.
The nurse is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which of the following findings would alert the nurse to a compromise?
1. Maternal fatigue 2. Coordinated uterine contractions 3. The passage of meconium 4. Progressive changes in the cervix
A nurse is assessing a 48-year-old client with fever at the community health center
What is usually a non-nursing procedure performed by the nurse in this setting? A) Teaching clients and families B) Arranging for hospital admission C) Assisting with sterile procedures D) Performing laboratory procedures