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Author Question: The nurse explains that when a neonate's bilirubin rises to 7 mg/dL, phototherapy is initiated to: ... (Read 83 times)

nramada

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The nurse explains that when a neonate's bilirubin rises to 7 mg/dL, phototherapy is initiated to:
 
  a. Convert indirect bilirubin to direct bilirubin to be excreted
  b. Warm the neonate to better excrete the excess bilirubin
  c. Dilate the blood vessels to aid in excretion of the excess bilirubin
  d. Stimulate the production of melanin in the skin to absorb the excess bilirubin

Question 2

An 8-year-old boy was just diagnosed with the mumps. The nurse is developing a plan of care for the boy, which should include which of the following interventions?
 
  1. Administer intravenous Acyclovir as ordered.
   2. Drink plenty of fluids, including citrus juices high in Vitamin C.
   3. Apply ice packs or warm compresses to the neck for comfort and pain relief.
   4. Place the patient in contact precautions.



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Smiles0805

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Answer to Question 1

A
Phototherapy helps convert the excess bilirubin to an excretable form. High bilirubin levels can result in brain damage.

Answer to Question 2

3
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1. Acyclovir is not an effective treatment for mumps
2. Citrus juice should not be provided during this time.
3. Interventions for mumps include respiratory isolation; acetaminophen or ibuprofen for fever and pain; bland, soft foods; hydration with intravenous fluids or bland liquids, avoiding citrus juices; ice packs or warm compresses for the neck for comfort and pain relief; and snug-fitting underwear and warmth to provide comfort and pain relief for orchitis. Acyclovir is ineffective for the treatment of mumps.
4. Good hand washing is needed, not contact precautions.





 

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