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 A
Explanation
A. Acknowledging the child's fear and helping her develop coping strategies is a supportive approach to address the fear of cats and dogs.
B. Avoiding the playground may reinforce the fear rather than helping the child overcome it.
C. Forcing the child to face her fears may exacerbate her anxiety and is not recommended.
D. Minimizing the child's fears and insisting that she go to the park may invalidate her feelings and increase her distress.
Correct Answer is D
Explanation
A. A height of 47 inches would indicate excessive growth.
B. A height of 41 inches would indicate insufficient growth.
C. A height of 45 inches would be slightly above the normal range.
D. The normal range of growth for a preschooler varies, but typically, a child will grow approximately 2-3 inches per year. Given that the girl was 40 inches tall at age 4, a height of 43 inches at age 5 would be within the expected range of growth.
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