Author Question: The mother of a newborn is concerned since the baby is jaundiced. The nurse realizes that the infant ... (Read 109 times)

jenna1 · **on:** Jun 25, 2018

The mother of a newborn is concerned since the baby is jaundiced. The nurse realizes that the infant should be assessed for which of the following anemias?

1. Glucose-6-phosphate dehydrogenase (G6PD)
2. Hereditary spherocytosis
3. Sickle-cell anemia
4. Thalassemia

Question 2

Which of the following nursing interventions would be appropriate for a client who has had an endotracheal tube removed?

1. Evaluate arterial blood gas analysis 2 hours after extubation.
2. Encourage the client to limit movement for the first day after extubation.
3. Provide oral care immediately after extubation.
4. Instruct the client that hoarseness will be present for at least 3 months.

bitingbit · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

2
Hereditary spherocytosis is also known as congenital hemolytic anemia. This anemia begins in utero and manifests as anemia and hyperbilirubinemia. A client with Glucose-6-phosphate dehydrogenase may develop jaundice later in life but not upon birth. Thalassemia and sickle-cell anemia do not present with hyperbilirubinemia upon birth.

Answer to Question 2

3
Interventions for a client who has been extubated include providing oral care immediately after extubation. Arterial blood gases should be analyzed within 30 to 60 minutes after extubation. The client should be encouraged to deep breathe, cough, and turn in bed frequently to mobilize secretions. Hoarseness should resolve within a few days and not in 3 months.