A newborn is diagnosed with hypoglycemia.

Which intervention should the nurse prioritize?

Administering IV insulin.

Encouraging frequent breastfeeding.

Monitoring blood pressure.

Administering a hypertonic saline solution.

Answer and Explanation

The Correct Answer is B

Encouraging frequent breastfeeding.

This is because breastfeeding provides glucose to the newborn baby, which can help prevent or treat hypoglycemia (low blood sugar). Hypoglycemia can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.

Choice A is wrong because administering IV insulin would lower the blood sugar level even more, which could be dangerous for the baby.

Choice C is wrong because monitoring blood pressure is not directly related to hypoglycemia.

Blood pressure may be affected by other factors such as stress, infection, or dehydration.

Choice D is wrong because administering a hypertonic saline solution would increase the sodium level in the blood, which could cause dehydration and electrolyte imbalance.

A hypertonic saline solution is not a source of glucose for the baby.

Normal ranges for blood glucose levels in newborns are between 47 to 85 mg/dL. Hypoglycemia is defined as blood glucose below 47 mg/dL.

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Correct Answer is A

Explanation

“We need to monitor your kidney function because SLE can cause glomerulonephritis.” Glomerulonephritis is kidney inflammation caused by SLE that can damage the filtering units of the kidneys called glomeruli.SLE is an autoimmune disease that can affect various organs and tissues, including the kidneys.About half of the people with lupus experience kidney involvement, which can lead to kidney failure if not treated.

Therefore, it is important to monitor the kidney function of people with SLE.

Choice B is wrong because SLE does not cause hepatic necrosis, which is the death of liver cells.SLE can cause inflammation of the liver, but this is less common and less severe than kidney involvement.

Choice C is wrong because SLE does not cause hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones.

SLE can affect the thyroid gland, but this is rare and usually does not affect the thyroid function.

Choice D is wrong because SLE does not cause diabetes mellitus, which is a condition where the body cannot regulate blood sugar levels.

SLE can cause inflammation of the pancreas, but this is uncommon and usually does not affect the insulin production.

A. Feed the baby as soon as possible after birth B. Feed the baby only when he cries C. Feed the baby every 6 hours D. Feed the baby with glucose water.

Correct Answer is A

Explanation

This is because newborns with hypoglycemia need to receive adequate nutrition to raise their blood glucose levels and prevent neurologic damage.Early feeding also helps establish breast milk supply for nursing mothers.

Choice B is wrong because feeding the baby only when he cries may delay the intake of glucose and worsen the hypoglycemia.Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.

Choice C is wrong because feeding the baby every 6 hours is too infrequent and may cause prolonged hypoglycemia.Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.

Choice D is wrong because feeding the baby with glucose water may not provide enough calories and nutrients for growth and development.Newborns with hypoglycemia should be fed with breast milk or formula.Glucose water may be used as a temporary measure until breast milk or formula is available.

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A newborn is diagnosed with hypoglycemia. Which intervention should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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A newborn is diagnosed with hypoglycemia.

Which intervention should the nurse prioritize?