When a newborn has a lack of bilirubin uptake, what does the nurse suspect is occurring in the patient?
a. Biliary hypertrophy
b. Physiologic jaundice
c. Hepatitis A
d. Infantile cirrhosis
ANS: B
Physiologic jaundice (newborn jaundice or neonatal bilirubinemia) is a frequently encountered problem in otherwise healthy newborns caused by lack of maturity in bilirubin uptake and conju-gation. Impaired excretion of bilirubin does not lead to biliary hypertrophy, hepatitis A, or cirrho-sis.
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What information does the nurse understand about the labia minora? (Select all that apply.)
A. Contain the Skene's glands and Bartholin's glands B. Constitute the primary organ of sexual pleasure in women C. Provide lubrication and protective bacteriocidal secretions D. Resemble mucous membrane and do not have hair follicles E. Share an extensive lymphatic network with other vulvar structures
When caring for the adolescent hospitalized for antepartum care or for labor, delivery, and postpartum, it is important for the nurse to:
A. include the adolescent in planning her care. B. discuss all plans with the parents before implementing them. C. share the completed care plan with the adolescent. D. provide the adolescent with complete physical care.
The nurse is instructing a client on diagnostic tests used to screen for colorectal cancer. Which of the following should be included in these instructions?
1. A digital rectal exam should be done annually. 2. A test for fecal occult blood should be done annually. 3. A flexible sigmoidoscopy should be done annually. 4. A colonoscopy should be done every 5 years after age 40.
The nurse is caring for a client with non-Hodgkin's lymphoma who is receiving chemotherapy. Laboratory results reveal a platelet count of 10,000/mL. What action should the nurse implement?
A. provide oral hygiene every 2 hours B. check for fever every 4 hours C. encourage fluids to 3000 mL/day D. check stools for occult blood