A newborn is receiving phototherapy. Which intervention by the nurse would be most important?
1. Measurement of head circumference
2. Encouraging the mother to stop breastfeeding
3. Stool blood testing
4. Assessment of hydration status
4
Explanation: 4. Infants undergoing phototherapy treatment have increased water loss and loose stools as a result of bilirubin excretion. This increases their risk of dehydration.
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The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspects of the newborn's physiology? (Select all that apply.)
a. Very little subcutaneous fat b. Low metabolic rates c. Ineffective sweat glands d. Small fluid reserves e. Low red blood cell counts
Physical assessment of a client with cardiac dysrhythmia reveals hypoactive bowel sounds, muscle weakness, dizziness, postural hypotension, shallow respirations, increased fatigue, and decreased tendon reflexes
The laboratory result consistent with these findings is a. serum calcium level of 4.3 mEq/L. b. serum magnesium level of 1.3 mEq/L. c. serum phosphorus level of 1.1 mEq/L. d. serum potassium level of 3.0 mEq/L.
What action must occur to prove a breach of duty?
a. Liability testimony of physician b. Testimony from state board of nurses c. Expert testimony d. Testimony of coworkers
The patient is elderly and has been diagnosed with Imbalanced nutrition: less than body requirements. Her treatment regimen should include having the nurse
a. Encourage weight gain as rapidly as possible. b. Encourage large meals three times a day. c. Decrease fluid intake to prevent feeling full. d. Encourage fiber intake.