A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?

Schedule a home visit in 3 weeks for weight and growth monitoring.

Return to the primary health care provider in 3 days for a follow-up appointment.

Cover the baby with a phototherapy blanket at home when sleeping.

Return the baby for immunization in 1 month.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Return to the primary health care provider in 3 days for a follow-up appointment.

Choice A rationale:

Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice. Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.

Choice B rationale:

Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action. This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.

Choice C rationale:

Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision. Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.

Choice D rationale:

Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment. Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.

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Correct Answer is D

Explanation

A. Install a bed exit sensor pad at the foot of the client's bed. While a bed exit sensor pad can be useful, it is typically placed on the mattress near the client's hips or lower back, not at the foot of the bed. This placement ensures it detects movement when the client tries to get up, thereby alerting staff to provide assistance.
B. Encourage the client to ambulate in compression stockings. Compression stockings can help with circulation but do not directly address fall prevention. Additionally, they can be slippery on some surfaces, potentially increasing the risk of falls if proper footwear is not used.
C. Raise all four side rails for the client at bedtime. Raising all four side rails is considered a form of restraint and can increase the risk of injury if the client attempts to climb over them. It can also limit the client’s ability to get out of bed independently and safely.
D. Place a raised toilet seat in the client's bathroom. This intervention is appropriate for fall prevention. A raised toilet seat can help clients with mobility issues by making it easier to sit down and stand up, thereby reducing the risk of falls in the bathroom, which is a common site for falls.

A. Health Information Technology for Economic and Clinical Health Act B. Affordable Care Act C. Balanced Budget Act D. Health Insurance Portability and Accountability Act

Correct Answer is A

Explanation

A. Health Information Technology for Economic and Clinical Health Act: This is correct. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides financial incentives for healthcare facilities to adopt and use electronic health records (EHRs) meaningfully.
B. Affordable Care Act: This act focuses on expanding healthcare coverage and affordability, not specifically on incentives for using EHRs.
C. Balanced Budget Act: This act primarily addresses budgetary issues and Medicare payments, not EHR incentives.
D. Health Insurance Portability and Accountability Act: HIPAA focuses on protecting patient privacy and securing health information, but it does not provide reimbursement incentives for EHR use.

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A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who is at risk for falls. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

A nurse manager is reviewing the benefits of electronic health records (EHRS) with a newly licensed nurse. The nurse manager should identify that which of the following acts provides reimbursement incentives for facilities that use EHRs?

Correct Answer is A

Explanation

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