A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.
Provide early feedings to prevent hypoglycemia
Maintain oxygen saturation parameters
Obtain hemoglobin and hematocrit laboratory tests
Monitor urinary output
Insert a peripheral IV
Correct Answer : A,B,C,D,E
A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Enriched bread may contain some calcium, but it's not as rich a source as other options.
B. White beans are a good source of calcium, which is important for bone health in preschoolers.
C. Fortified cereal may contain added calcium, but it may not be as naturally rich as other food sources.
D. While spinach contains calcium, it also contains oxalates, which can inhibit calcium absorption, making it a less effective source of dietary calcium.
Correct Answer is B
Explanation
A. Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B. Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C. Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D. Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.
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