The nurse is working with a newborn who has elevated bilirubin ...

[penza]

The nurse is working with a newborn who has elevated bilirubin levels that are fast approaching the toxic level. The nurse is most concerned about which of the following conditions?
 
  a. ketolysis c. kernicterus
  b. bilharziasis d. biliverdin

Question 2

The nurse is caring for a 6-month-old infant. The safety of the infant can best be ensured by which of the following safety measures:
 
  a. Prop nursing bottles carefully
  b. Provide supervision to children playing with wheelchairs
  c. Place crib away from electrical outlets
  d. Ensure the tray is securely locked before leaving a child unattended in a high chair

[medine]

Answer to Question 1

C

Feedback
A Incorrect. Elevated bilirubin levels approaching toxicity is not ketolysis.
B Incorrect. Bilharziasis, more commonly known as schistosomiasis, is a parasitic infection second only to malaria in the number of people affected.
C Correct. Kernicterus is the chronic and permanent accumulation of bilirubin in central nervous system tissues.
D Incorrect. Biliverdin is the green bile pigment that becomes bilirubin.

Answer to Question 2

C
Bottles should never be propped. Children should not be allowed to play with wheelchairs. The crib should always be placed away from electrical outlets to prevent child from placing objects or fingers into the outlet. Never leave a child unattended in a high chair.