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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced.

Which of the following interventions should the nurse include?

Place the newborn under a radiant warmer.

Supplement breastfeeding with iron-fortified formula.

Determine the effectiveness of breastfeeding.

Administer Rho(D) immune globin to the newborn.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Placing the newborn under a radiant warmer is not directly related to addressing breastfeeding-related jaundice.

Choice B rationale:

Supplementing breastfeeding with formula is not the first-line approach and may interfere with establishing successful breastfeeding.

Choice C rationale:

Breastfeeding-related jaundice can occur if the newborn is not effectively breastfeeding and not getting enough milk. Assessing the effectiveness of breastfeeding is important to address the underlying cause of jaundice.

Choice D rationale:

Administering Rho(D) immune globulin is unrelated to addressing jaundice in a breastfed newborn.

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Correct Answer is D

Explanation

Choice A rationale:

Increasing fiber intake is a key recommendation for managing diverticulosis.

Choice B rationale:

Cellulose-containing foods, such as whole grains and vegetables, are important sources of dietary fiber and are encouraged for managing diverticulosis.

Choice C rationale:

Stimulating laxatives are not recommended for managing diverticulosis and could potentially exacerbate symptoms.

Choice D rationale:

Limiting fat intake to 30% or less is a dietary recommendation for managing diverticulosis. A high-fiber diet is also important to prevent diverticular inflammation.

A. "I should shake the device if the medication appears brown." B. "I should not massage the injection area." C. "I will inject the medication in the top of my thigh." D. "I will refrigerate the injection device when I am at home."

Correct Answer is C

Explanation

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about managing diverticulosis. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is teaching a client who experiences anaphylaxis from bee stings about an epinephrine auto-injector. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is C

Explanation

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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced.

Which of the following interventions should the nurse include?