The nurse assesses the preterm infant and notifies the primary RN upon finding what abnormal feature?

1. Body covered in a fine hair
2. Ear lobe is thin and easily creased.
3. Wrinkled skin
4. Slight yellow discoloration to skin


4
Rationale: Yellow discoloration to the skin indicates jaundice, and should be reported, although it is anticipated in most preterm infants due to their immature liver function. The preterm infant's body is normally covered in fine hair called lanugo with wrinkled skin and little cartilage, allowing the ear to be easily folded or creased.

Nursing

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To meet the Institute of Medicine (IOM) recommendation, nursing should strive to have ____ % of nurses prepared at the baccalaureate or higher level by 2020. Standard Text:

Fill in the blank(s) with correct word

Nursing

The nurse is caring for a child recently diagnosed with glucose-6-phosphate dehydrogenase (G6PD) deficiency. The nurse is providing teaching regarding triggers that may result in oxidative stress

Which of the following responses indicates a need for further teaching? A) "I doubt he will ever eat fava beans, but they could trigger hemolysis." B) "He must avoid exposure to naphthalene; an agent in mothballs." C) "He must never take methylene blue for a urinary tract infection." D) "My son can never take penicillin for an infection."

Nursing

The five human rights that are outlined in ANA guidelines include which rights? (Select all that apply.)

a. Right to self-determination b. Right to privacy and dignity c. Right to legal consultation d. Right to anonymity and confidentiality e. Right to fair treatment f. Right to protection from discomfort and harm g. Right to comprehensive medical care

Nursing

When obtaining a venipuncture sample for a blood culture, the nurse should:

a. recap the needles. b. shake the culture bottles well. c. use two different sites to draw samples. d. inoculate the aerobic culture bottle first.

Nursing