The nurse is caring for an infant with hemolytic disease. Which medication should the nurse anticipate to be prescribed to decrease the bilirubin level?
a. Phenytoin (Dilantin)
b. Valproic acid (Depakene)
c. Carbamazepine (Tegretol)
d. Phenobarbital (Phenobarbital)
ANS: D
Phenobarbital is used to decrease the bilirubin level in a newborn with hemolytic disease. Phenobarbital promotes (1) hepatic glucuronyl transferase synthesis, which increases bilirubin conjugation and hepatic clearance of the pigment in bile, and (2) protein synthesis, which may increase albumin for more bilirubin binding sites. Dilantin, Depakene, and Tegretol are antiseizure medications and do not lower bilirubin levels.
You might also like to view...
Which statement best describes paternal adaptation?
a. Paternal responses and concerns vary. b. Most men are excited about becoming a father. c. All men view pregnancy as proof of masculinity. d. Most men are reluctant to assume the parenting role.
The nurse explaining an infection to a client with the flu would describe an infection as a/an
a. defect in the immune system. b. hypersensitivity reaction between a human antigen and a biologic agent. c. inflammatory response to an irritant. d. parasitic relationship between an organism and host.
Why do most people become ill with a specific viral infection only once?
a. Once a virus is killed by the body, it is gone from the earth forever. b. During a viral infection, the body changes the virus to be less virulent. c. Antiviral drugs change the viral DNA so it cannot infect the same person again. d. During a specific viral infection, the person's immune system improves protection against that virus.
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:
a. A positive pregnancy test. b. Fetal movement palpated by the nurse-midwife. c. Braxton Hicks contractions. d. Quickening.