Which is the most appropriate nursing intervention for the ...

[kamilo84]

Which is the most appropriate nursing intervention for the newborn who is jittery and twitching and has a high-pitched cry?
 
  a. Monitor blood pressure closely.
  b. Obtain urine sample to detect glycosuria.
  c. Obtain serum glucose and serum calcium levels.
  d. Administer oral glucose or, if newborn refuses to suck, IV dextrose.

Question 2

The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?
 
  a. Allow newborn to sleep with pacifier to decrease stimuli.
  b. Keep newborn awake to monitor central nervous system changes.
  c. Encourage parents to hold and feed newborn to facilitate attachment during illness.
  d. Awaken newborn periodically to assess level of consciousness.

[jesse.fleming]

Answer to Question 1

ANS: C
These are signs and symptoms of hypocalcemia and hypoglycemia. A blood test is useful to determine the treatment. Laboratory analysis for calcium and blood glucose should be the priority intervention. Monitoring vital signs is important, but recognition of the possible hypocalcemia and hypoglycemia is imperative. A finding of glycosuria would not facilitate the diagnosis of hypoglycemia. A determination must be made between the hypocalcemia and hypoglycemia before treatment can be initiated.

Answer to Question 2

ANS: A
For newborns with hypocalcemia, the nurse should manipulate the environment to reduce stimuli that might precipitate a seizure or tremors. A quiet, nonstimulating environment should be maintained for the newborn until calcium levels are normalized. Care should be provided without sudden jarring. Parents can be involved in observations and care when the child is awake.

[kamilo84]

Excellent

[alvinum]

Thanks for the timely response, appreciate it