A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

Provide early feedings to prevent hypoglycemia

Maintain oxygen saturation parameters

Obtain hemoglobin and hematocrit laboratory tests

Monitor urinary output

Insert a peripheral IV

Answer and Explanation

Correct Answer : A,B,C,D,E

A.   Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B.   Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C.   Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D.   Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E.   A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.

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Correct Answer is ["A","B","D","E"]

Explanation

A. This principle aims to prevent or minimize the complications associated with preterm births, such as respiratory distress, bleeding, infection, and developmental delays.
B. Early identification of prenatal risk factors and taking actions to mitigate them can help reassure the client by demonstrating proactive care.
C. While important, this choice is more about addressing potential outcomes rather than preventing complications during pregnancy.
D. Ensuring care for mothers and infants to reduce adverse outcomes addresses the concerns about complicated pregnancies by emphasizing preventive measures.
E. This choice focuses on ensuring appropriate care for high-risk infants, which is relevant to addressing concerns about complicated pregnancies.

A. A lack of fully developed hearing B. A less discriminating sense of touch C. Visual acuity that has not fully developed D. A less discriminating sense of taste

Correct Answer is D

Explanation

A. Hearing is not directly related to the risk of accidental ingestion.
B. Touch is not typically involved in the identification of substances for ingestion.
C. Visual acuity plays a role in identifying substances but may not directly influence the risk of accidental ingestion.
D. At the age of 3, children may have a less discriminating sense of taste, making them more likely to put potentially harmful substances in their mouths.

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A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

Correct Answer is D

Explanation

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