The nurse explains that when a neonate's bilirubin rises to 7 mg/dL, phototherapy is initiated to:
a. Convert indirect bilirubin to direct bilirubin to be excreted
b. Warm the neonate to better excrete the excess bilirubin
c. Dilate the blood vessels to aid in excretion of the excess bilirubin
d. Stimulate the production of melanin in the skin to absorb the excess bilirubin
A
Phototherapy helps convert the excess bilirubin to an excretable form. High bilirubin levels can result in brain damage.
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A novice nurse is learning about various tools that nurses may use to aid in therapeutic communication in the nurse-patient relationship. What does the nurse recognize as true regarding the concept of process recording?
1. The purpose is to record the nurse-patient interaction and provide a guideline for therapeutic care. 2. The purpose is to allow the patient to actually hear what the nurse stated in the nurse-patient interaction. 3. The purpose is to allow the nurse to actually hear what the patient heard in the nurse-patient interaction. 4. The purpose is to reflect on and evaluate the dynamics of a specific interaction and to provide a sample of interaction for consideration in supervision or consultation with others.
A Native American patient describes a difficult childhood and dropping out of high school. The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago. The patient now says, "I feel stupid. I've never had a good job
I don't help my people." Which nursing diagnosis applies? a. Risk for other-directed violence b. Chronic low self-esteem c. Deficient knowledge d. Social isolation
MC Community discussion has focused on the effect of diabetes on the population because a predominantly African American area of the city has recorded a higher incidence of diabetes. The focus of the community nurse's efforts should be on the
A. Neighborhood. B. Aggregate. C. Community. D. Population.
Which outcome should a nurse establish as a priority for a patient taking an oral glucocorticoid for long-term treatment of asthma?
A. Increases the daily intake of vitamin D and calcium B. Records daily peak expiratory flow rates C. Supplements additional doses at times of stress D. Uses alternate-day therapy to reduce adverse effects