Which of the following nursing interventions would be a priority ...

[Jramos095]

Which of the following nursing interventions would be a priority when caring for a newborn who is receiving phototherapy for high bilirubin levels? Select all that apply.
 
  A)
  Frequent monitoring of temperature
  B)
  Keeping diapers dry and clean
  C)
  Maintaining oral intake to prevent dehydration
  D)
  Putting lotion on his skin frequently to prevent drying/cracking of skin
  E)
  Applying sunscreen to prevent ultraviolet radiation

Question 2

Which of the following patients would be at risk for developing nonthrombocytopenic purpura? Select all that apply.
 
  A)
  A child adopted from India and displaying malaise, lethargy, and petechiae all over the body
  B)
  A 73-year-old patient admitted with concussion that resulted from a fall
  C)
  A 55-year-old patient diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump, and moon face
  D)
  A 15-year-old insulin-dependent diabetic with hypoglycemia displaying irritability with headaches and tachycardia
  E)
  A pregnant mother experiencing headaches and proteinuria

[Bigfoot1984]

Answer to Question 1

Ans:
A, C

Feedback:

Effective treatment depends on the area of skin exposed and the infant's ability to metabolize and excrete bilirubin. Frequent monitoring of bilirubin levels, body temperature, and hydration is critical to the infant's care. Diapers are usually not worn when under phototherapy light (want to keep the skin exposed to the light). Applying lotion and sunscreen would result in possible burning of the infant's skin while under the light.

Answer to Question 2

Ans:
A, C

Feedback:

Vascular disorders that cause bleeding include vitamin C deficiency (answer A), Cushing disease (answer C), senile purpura, and aging process. Answers B and D do not result in weak vessel walls initially. Pregnant mother experiencing headaches and proteinuria is associated with preeclampsia.

[Jramos095]

Excellent

[mjenn52]

TYSM