A telephone triage nurse gets a call from a postpartum patient who is concerned about jaundice. The patient's newborn is 37 hours old. What data point should the nurse gather first?
1. Stool characteristics
2. Fluid intake
3. Skin color
4. Bilirubin level
3
Rationale 1: The stool characteristic of green coloration indicates excretion of bilirubin.
Rationale 2: Inadequate fluid intake can predispose an infant to jaundice, and is best determined by the number of wet diapers per day.
Rationale 3: Yellow coloration of the skin and sclera is a sign of physiologic jaundice that appears after the first 24 hours postnatally. Inspection of the skin would be the first step in assessing for jaundice.
Rationale 4: Skin color begins to appear yellow once the serum levels of bilirubin are about 4–6 mg/dL.
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Clients diagnosed with Type I–positive schizophrenic symptoms respond better to antipsychotic medications. Manifestations of Type I schizophrenia include which of the following? (Select all that apply.)
a. Delusions b. Hallucinations c. Apathy d. Anhedonia e. Illusions
An adolescent shares with the nurse that he is gay and that he is going to tell his parents. The nurse knows that parental response to the disclosure of homosexuality is strongly influenced by the: (Select all that apply.)
1. Strength of traditional gender role conceptions. 2. Perceptions of the probable attitudes of significant others in the family's network. 3. Parental age. 4. Parental education. 5. Parental race.
A tuft of capillaries in the kidney that is responsible for filtering the blood is called the:
a. Bowman's capsule c. afferent arteriole b. Loop of henle d. glomerulus
When an innovative treatment or process is implemented on a trial basis, this is known as a(n)
a. initial trial. b. pilot. c. test case. d. case study.