A preterm newborn is more likely to develop hyperbilirubinemia than a term newborn because the former has:
a. Impaired ability to manufacture immunoglobulins
b. Poor hepatic clearance of bilirubin and excess free fatty acids
c. Decreased liver glycogen stores
d. Immature kidneys, reducing excretion of bilirubin
ANS: B
Poor hepatic clearance of bilirubin and reduced fluid intake (small feedings) can inhibit the removal of bilirubin in the intestines (not kidneys). Excess free fatty acids, released through cold stress, compete with bilirubin for protein-binding sites, which displace bilirubin into circulation.
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The nurse manager has asked that another staff nurse position be funded for the unit. The supervisor denies the request
Which statements by the manager are examples of negative assertion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I know I haven't been too careful in keeping personnel costs low, but we are really going to need another position." 2. "I don't see why another position cannot be funded. We have met our budget each year for the last 3 years." 3. "I realize that my staff is not always positive about organizational changes, but having this extra staff member might reduce some of their stress." 4. "I can understand what you said about budget being tight, but we still need the position." 5. "Do you not understand how hard my nurses are working?"
The principle of self-determination concerns whether participation in a study was coerced
A) True B) False
A nurse identifies a nursing diagnosis of Ineffective Self Health Management for a patient. Which of the following would the nurse identify as supporting this nursing diagnosis? Select all that apply
A) Visual impairment B) Forgetfulness C) Cognitive deficits D) Mobility issues E) Order entry error
Interventions to improve client problems related to xerostomia include
A) chewing regular chewing gum. B) discouraging the use of oral mouth rinses. C) placing a dehumidifier in the home environment. D) avoiding foods that are difficult to chew or swallow.