The nurse accepts an infant from the delivery room and does which ...

[tichca]

The nurse accepts an infant from the delivery room and does which of the following until the baby is bathed?
 
  1. Performs hand hygiene before and after caring for the baby.
  2. Monitors the baby's vital signs, checking temperature frequently.
  3. Performs umbilical care.
  4. Wears gloves.

Question 2

The nurse assisting with developing a plan of care for a client diagnosed with polycythemia sets which of the following goals in collaboration with the client?
 
  1. Will decrease daily calorie intake to 1,500 calories.
  2. Will increase fluid intake to 3,000 cc of fluid daily.
  3. Will increase intake of iron by choosing iron rich foods.
  4. Will maintain blood pressure below 160 systolic.

[vkodali]

Answer to Question 1

4
Rationale: The infant is considered potentially hazardous due to maternal secretions, so the nurse should wear gloves until after the infant is bathed. The remaining activities are done before and after the bath.

Answer to Question 2

2
Rationale: The client with polycythemia has thicker blood because of the increase in red blood cells. Increasing fluid intake will reduce the risks associated with the condition. There is no need to change caloric intake, and iron supplements are contraindicated, as they can cause red blood cell counts to rise further. Blood pressure should be sustained below 160 systolic for any client.

[tichca]

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[vkodali]

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