The nurse is expecting an admission of a child with severe ...

[tichca]

The nurse is expecting an admission of a child with severe isotonic dehydration. Which intravenous fluid should the nurse anticipate the doctor to order initially to replace fluids?
 
  1. D5W
  2. 0.9 Normal Saline (NS)
  3. Albumin
  4. D5 0.2 (1/4) Normal Saline

Question 2

The nurse assesses a 12-hour-old newborn's serum bilirubin level and finds it to be 14 mg/dl. What nursing intervention would be included in the plan of care for this newborn?
 
  1. Continue to observe.
  2. Begin phototherapy.
  3. Begin blood exchange transfusion.
  4. Stop breastfeeding.

[prumorgan]

Answer to Question 1

Answer:2
Rationale:0.9 Normal Saline (NS) maintains Na and chloride at present levels.D5W can lower sodium levels so would not be used to initially replace fluids in severe isotonic dehydration. Albumin is used to restore plasma proteins.D5 0.2 (1/4) Normal Saline would not be used initially but later,as maintenance fluids.

Answer to Question 2

2
Rationale 1: Continued observation is only appropriate with normal findings.
Rationale 2: Jaundice within 24 hours of birth is due either to Rh incompatibility or ABO incompatibility, and requires phototherapy.
Rationale 3: Newborns with a bilirubin of 20 mg/dl or above might need an exchange transfusion.
Rationale 4: The newborn should continue to breastfeed, even when undergoing phototherapy.

[tichca]

Great answer, keep it coming

[bulacsom]

Gracias!