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 C

Explanation

A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

A. Do not give praise unless the adolescent deserves it. B. Speak to your child as an authority figure, not an equal. C. Talk face to face and be aware of body language. D. Don't pretend you know all the answers. E. Ask questions to see why he or she feels that way. F. Don't admit that you make mistakes.

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

Explanation

A. Providing praise when deserved is important for reinforcing positive behavior and fostering self-esteem.
B. Speaking to the child as an authority figure may create distance and hinder effective communication.
C. Talking face to face and being aware of body language can enhance communication and understanding between parents and adolescents.
D. Acknowledging uncertainty and not pretending to have all the answers can foster honesty and openness in communication.
E. Asking questions to understand the adolescent's perspective and feelings encourages dialogue and mutual understanding.
F. Admitting mistakes and modeling accountability is important for building trust and demonstrating humility in parent-adolescent relationships.

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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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