A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Give the newborn 1 oz of glucose water every 4 hr.

Apply a thin layer of lotion to the newborn's skin every 8 hr.

Ensure the newborn's eyes are closed beneath the shield.

Dress the newborn in a thin layer of clothing during therapy.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C, Ensure the newborn's eyes are closed beneath the shield. Phototherapy is a treatment used to reduce high bilirubin levels in newborns. It involves exposing the newborn's skin to special lights, which helps to break down the excess bilirubin in the blood. It is important to ensure that the newborn's eyes are closed beneath the shield to prevent damage to the eyes from the bright lights. Giving the newborn 1 oz of glucose water every 4 hr, applying lotion to the newborn's skin every 8 hr, and dressing the newborn in a thin layer of clothing during therapy are not indicated interventions during phototherapy.

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Correct Answer is A

Explanation

May 13. Nägele's Rule is used to calculate the estimated date of delivery (EDD) based on the first day of the last menstrual period (LMP). To use this rule, the nurse subtracts 3 months from the first day of the LMP and adds 7 days and 1 year.

For this client, the first day of her LMP was August 10. Subtracting 3 months gives us May 10. Adding 7 days gives us May 17. Adding 1 year gives us May 17, 2022. Therefore, the estimated date of delivery is May 17, 2022.

It is important to note that Nägele's Rule is an estimation, and not all pregnancies follow the typical 280-day gestational period. Other factors, such as irregular menstrual cycles, can affect the accuracy of the estimated date of delivery. The nurse should monitor the client's pregnancy and adjust the estimated date of delivery as needed based on ultrasound results and other clinical findings.

A. A client who has preeclampsia and a creatinine level of 1.1 mg/dL B. A client who has placenta previa and a hematocrit of 36% C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L D. A client who has diabetes mellitus and an HbA1c of 5.8%

Correct Answer is C

Explanation

The correct answer is choice C, the client who has hyperemesis gravidarum and a sodium level of 110 mEq/L should be assessed first. This client's low sodium level indicates hyponatremia, which can lead to seizures and brain damage if not corrected promptly. The nurse should assess the client's neurologic status, including level of consciousness, reflexes, and motor function, and notify the provider immediately. The other clients also require close monitoring and intervention, but their conditions are not as urgent as the client with hyponatremia. Clients with preeclampsia require monitoring of blood pressure and kidney function, clients with placenta previa require monitoring of bleeding and hematocrit levels, and clients with diabetes mellitus require monitoring of blood glucose levels and HbA1c.

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A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?

Correct Answer is A

Explanation

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

Correct Answer is C

Explanation

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