The mother of a 4-day-old infant is concerned that the infant's skin tone is yellow and asks if the baby should be hospitalized. What should the nurse consider as being the cause of this infant's skin color change?
1. Pathologic jaundice
2. Physiologic jaundice
3. Acute bilirubin encephalopathy
4. Hemolytic disease of the newborn
3
Explanation:
1. Pathologic jaundice usually appears before 24 hours of life and is the result of a more serious underlying condition.
2. Infants can develop physiologic jaundice 4 to 5 days after birth as a result of a shortened red blood cell life span, slow uptake of bilirubin by the liver, a lack of intestinal bacteria, or poorly established hydration from initial breastfeeding.
3. Acute bilirubin encephalopathy, or kernicterus, is a serious medical condition resulting from very high bilirubin levels as a result of pathologic jaundice. This is unlikely to occur with physiologic jaundice.
4. Hemolytic disease of the newborn occurs as a result of blood incompatibility between the mother and infant and is usually diagnosed shortly after birth.
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A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice?
a. Trained interpreter b. Male family member c. Female family member d. Volunteer college student from the foreign language studies department
A 40-year old primigravida has undergone nuchal translucency screening. The results show a finding of 3.3 mm. What information should the nurse provide the parents?
A. The fetus has an open neural tube defect. B. The fetus has an increased risk for genetic disorders. C. These results are inconclusive. D. These results are normal in an older mother.
The nurse manager has been asked to assemble several groups to work on tasks to improve the unit's performance and client satisfaction scores. This manager would put the fewest people in a group working on which type of task?
1. Additive 2. Disjunctive 3. Divisible 4. Conjunctive
A clinical guideline:
a. outlines a principle that governs activity and which individuals are expected to follow. b. is a principle or criterion that guides a practice-related action. c. is a written plan that specifies procedures to be followed in defined situations. d. is a statement developed by a panel of experts/stakeholders.