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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.

A. Adolescents can understand the concepts of right and wrong and are developing a conscience. B. Adolescents will base their actions on the avoidance of punishment and the attainment of pleasure. C. Adolescents develop their own set of morals and values and question the status quo. D. Adolescents undergo the process of developing their own set of morals at different rates. E. Adolescents are able to understand and incorporate into their behavior the concept of the "golden rule." F. Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion.

Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

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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.

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Naxlex Comprehensive Predictor Exams

A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?

Correct Answer is D

Explanation

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Correct Answer is ["A","C","D","E"]

Explanation

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