The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?
a. Bring the infant to the mother and initiate breastfeeding.
b. Place a nasogastric tube and administer 5% dextrose water.
c. Start a peripheral intravenous line and administer 10% dextrose.
d. Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.
ANS: A
A full-term infant born after an uncomplicated pregnancy and delivery who is borderline hypoglycemic, as indicated by a blood glucose level of 36 mg/dL, and who is clinically asymptomatic should probably reestablish normoglycemia with early institution of breast or bottle feeding. The newborn does not require a nasogastric tube and 5% dextrose water or a peripheral intravenous line with 10% dextrose because the blood glucose level is only borderline. The infant does need to be monitored, but breastfeeding should be started and the blood glucose level checked in 1 to 2 hours.
You might also like to view...
A patient who has been prescribed oral ferrous sulfate reports taking extra doses for the past few months. The patient's serum iron level is 560 mcg/dL. What will the nurse expect the provider to order for this patient?
a. Discontinuing the ferrous sulfate and re-checking the iron level in 1 month b. Gastric lavage and treatment for acidosis and shock c. Giving oral deferasirox [Exjade] d. Giving parenteral deferoxamine [Desferal]
The PHN realizes that the mere presence of an agent, even if it is known to have toxic properties, does not necessarily mean there is a risk to health. However, the three routes of entry for chemical exposure include all of the following, except
A. Ingestion B. Inhalation C. Dermal absorption D. IV
____________________ occurs when breathing is insufficient to sustain life.
Fill in the blank(s) with the appropriate word(s).
The nurse is preparing to examine a comatose patient on a ventilator. Before beginning the procedures, she: (Select all that apply.)
a. speaks to the patient to minimize anxiety. b. drapes the body parts not being examined. c. encourages the patient to ask questions. d. uses medical terms to let the patient know that she is professional.