The nurse is providing instructions to the client of a breast-fed ...

[Mr.Thesaxman]

The nurse is providing instructions to the client of a breast-fed newborn who has hyperbiliru-binemia. Which of the following instructions does the nurse provide to the client?
 
  1. Increase the frequency of the breast-feeding.
  2. Stop the breast-feedings, and switch to bottle-feeding permanently.
  3. Provide bottled water feedings between the breast-feeding sessions.
  4. Switch to bottle-feeding the baby during the period of high bilirubin levels, and feed less frequently.

Question 2

The older adult client has been lying in a supine position for the last 3 hours. The nurse who is repositioning this client would be most concerned with examining which of the following bony prominences of the client? Select all that apply.
 
  1. Heels
  2. Ankles
  3. Elbows
  4. Sacrum
  5. Back of the head
  6. Greater trochanter

[emilymalinowski12]

Answer to Question 1

1

Rationale: Breast-feeding should be initiated within 2 hours after birth and every 2 to 3 hours thereafter. Supplementation with water does not reduce hyperbilirubinemia and should be dis-couraged because supplemental feedings with water do not promote stool excretion. The infant should not be fed less frequently. It is not necessary to stop breast-feeding permanently.

Answer to Question 2

1, 3, 4, 5

Rationale: When the client is lying supine, the heels, sacrum, and back of the head are all at risk, as well as the elbows and scapulae. The greater trochanter and ankles are at greater risk of skin breakdown from excessive pressure when the client is in the side-lying position.

[Mr.Thesaxman]

TYSM

[at]

Excellent