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. "Websites that sell health care products provide the most unbiased health information." Websites that sell products may have a conflict of interest and may not provide the most unbiased information.
B. "The most credible and efficient websites for locating scholarly health information end in .com." Credible health information is more commonly found on websites ending in .gov, .edu, or .org, rather than .com.
C. "Dependable websites containing health information keep their commercial sponsors anonymous." Transparency about commercial sponsors is important for credibility; anonymous sponsorships may indicate a lack of transparency.
D. "My provider is responsible for showing me how to evaluate health information on the Internet." This is correct. Providers can guide patients on evaluating the credibility and reliability of health information found online.

A. Increased hemoglobin B. Decreased albumin C. Increased leukocytes D. Decreased coagulation

Correct Answer is B

Explanation

A. Increased haemoglobin is not typically associated with delayed wound healing. Elevated hemoglobin can occur in conditions such as dehydration or polycythemia.
B. Decreased albumin: This is the correct answer. Albumin is a protein that is essential for wound healing. Low levels of albumin (hypoalbuminemia) can indicate poor nutritional status, which can delay wound healing.
C. Increased leukocytes typically indicates infection or inflammation but does not directly suggest delayed wound healing unless the increase is due to a significant infection.
D. Decreased coagulation can indicate a bleeding disorder, but it is not directly linked to delayed wound healing. However, proper coagulation is important for the initial stages of wound healing.

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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

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A nurse is teaching a client about the use of electronic resources to research health information. Which of the following client responses indicates an understanding of the teaching?

Correct Answer is D

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A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?

Correct Answer is B

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