A pregnant patient is treated with trimethoprim/sulfamethoxazole (TMP/SMZ) (Bactrim) for a urinary tract infection at 34 weeks' gestation. A week later, the woman delivers her infant prematurely. The nurse will expect to monitor the infant for:
a. birth defects.
b. hypoglycemia.
c. rash.
d. scleral jaundice.
ANS: D
Kernicterus is a disorder in newborns caused by deposition of bilirubin in the brain. Sulfonamides promote kernicterus by displacing bilirubin from plasma proteins. Sulfonamides should not be given to infants under 2 months of age or to pregnant women near term. Jaundice is an early sign of elevated bilirubin, so the nurse should assess for scleral jaundice. Sulfonamides do not cause birth defects or hypoglycemia. Serious rashes may occur but are not the primary concern in the newborn.
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What somatoform disorder is considered to be a chronic condition with an onset in the late teens, have intermittent reoccurrence over a lifetime, and occur with equal prevalence in both men and women?
A) Body dysmorphic disorder B) Hypochondriasis C) Pain disorder D) Conversion disorder
A patient with cardiac decompensation is started on dobutamine at 1 mcg/kg/min with an order to titrate to effect. After receiving this dose for several minutes, the patient develops tachycardia and occasional premature ventricular contractions. What nursing intervention is indicated?
1. Increase the dose to 1.5 mcg/kg/min. 2. Discontinue the infusion. 3. Decrease the infusion to 0.5 mcg/kg/min. 4. Contact the prescriber immediately.
The nurse is explaining a newborn's assessment to a first-time mother. Which statement made by the mother indicates a need for further teaching?
a. "My baby is cold; his hands and feet are blue." b. "My baby's eyes may not stay blue." c. "The soft spot should be closed by 18 months." d. "These white spots on my baby's nose will disappear on their own."
A patient was involved in an automobile accident in which the car left the road and hit a bridge
Which information provided by the paramedics would the nurse evaluate as important in understanding the mechanism of injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The speed of the vehicle was estimated at 60 miles per hour when it hit the bridge abutment. 2. The passenger cabin of the vehicle showed no signs of intrusion. 3. It was raining at the time of the crash. 4. Airbags in the car deployed. 5. The patient was wearing a seatbelt.