The nurse is caring for a 28-hour-old newborn, and notes a yellow coloring of the skin
Which factors would the nurse consider as potential causes of the infant's physiologic jaundice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Vacuum extraction delivery
2. Adequate calorie intake
3. Neonatal asphyxia
4. Congenital heart disease
5. Frequent bowel movements
1,3,4
Rationale 1: The use of forceps or vacuum extraction that sometimes causes facial bruising or cephalhematoma can increase the amount of bilirubin to be handled by the liver.
Rationale 2: If the newborn does not ingest adequate calories, the formation of hepatic intracellular binding proteins diminishes, resulting in higher levels of bilirubin.
Rationale 3: Decreased oxygen supplies to the liver associated with neonatal hypoxia lead to a rise in bilirubin level.
Rationale 4: Decreased oxygen supplies to the liver associated with congenital heart disease lead to a rise in bilirubin level.
Rationale 5: Frequent bowel movements increase elimination of bilirubin and subsequently decrease the risk of jaundice.
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According to the American College of Surgeons, burns to which body surfaces are best treated in a burn center? (Select all that apply.)
a. Arms b. Perineum c. Chest d. Genitalia e. Face
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect
The nurse will explain that lovastatin lowers cholesterol levels because it A) is a hormone. B) is a bile-acid resin. C) inhibits cholesterol syntheses. D) consists of a fibric acid derivative.
Which of these are oil glands that are located at the edges of the eyelids?
A) sebaceous glands B) sweat glands C) lacrimal glands D) nasolacrimal glands
When discontinuing a peripheral IV access, the nurse should (Select all that apply.)
a. Use scissors to remove the IV site dressing and tape. b. Keep the catheter parallel to the skin while removing it. c. Apply firm pressure with sterile gauze during removal. d. Stop the infusion before removing the IV catheter. e. Wear sterile gloves and a mask. f. Apply pressure to the site for 2 to 3 minutes after removal.