A preterm infant has a yellow skin color and a rising bilirubin level. The nurse knows that this infant is at risk for what?
Heart failure
Skin breakdown
Renal failure
Brain damage
The Correct Answer is D
A. Heart failure: While severe illness can affect cardiac function, jaundice and elevated bilirubin in a preterm infant are not direct causes of heart failure. Cardiac complications are not the primary concern in this context.
B. Skin breakdown: Jaundice affects skin color but does not directly cause skin breakdown. Skin integrity issues are more related to immaturity, moisture, or friction rather than hyperbilirubinemia.
C. Renal failure: Elevated bilirubin does not typically cause renal failure. The kidneys are not the primary organs affected by hyperbilirubinemia in preterm infants.
D. Brain damage: Preterm infants with rising bilirubin levels are at risk for kernicterus, a type of bilirubin-induced neurologic dysfunction. Excess bilirubin can cross the immature blood-brain barrier, potentially leading to permanent brain damage if not treated promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Calculation:
Total volume = 100 mL.
Infusion time = 30 minutes
= 30 minutes / 60 minutes/hour
= 0.5 hours.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
Correct Answer is ["120"]
Explanation
Calculation:
Flow rate = 120 mL/hr.
Drop factor = 60 gtt/mL.
- Calculate the infusion rate in drops per minute (gtt/min).
Infusion rate (gtt/min) = (Flow rate (mL/hr) x Drop factor (gtt/mL)) / 60 minutes/hr
= (120 mL/hr x 60 gtt/mL) / 60 minutes/hr
= 120 gtt/min.
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