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 ["A","B","D","E"]

Explanation

A. This principle aims to prevent or minimize the complications associated with preterm births, such as respiratory distress, bleeding, infection, and developmental delays.
B. Early identification of prenatal risk factors and taking actions to mitigate them can help reassure the client by demonstrating proactive care.
C. While important, this choice is more about addressing potential outcomes rather than preventing complications during pregnancy.
D. Ensuring care for mothers and infants to reduce adverse outcomes addresses the concerns about complicated pregnancies by emphasizing preventive measures.
E. This choice focuses on ensuring appropriate care for high-risk infants, which is relevant to addressing concerns about complicated pregnancies.

A. Optimizing the child's level of functioning B. Monitoring quality of care provided C. Making referrals for all healthcare needs D. Monitoring disease incidence E. Teaching parents to prevent injury F. Providing care developed from national guidelines

Correct Answer is ["A","B","E","F"]

Explanation

A. Health supervision includes optimizing the child's physical, emotional, and developmental well-being to ensure the child reaches their maximum level of functioning.
B. This involves evaluating the effectiveness and safety of the care delivered by the healthcare team and ensuring that it meets the standards and guidelines of evidence- based practice.
C. Making referrals for all healthcare needs may not be feasible or necessary for every child in a healthcare provider's office.
D. Monitoring disease incidence is part of public health surveillance but may not be a primary focus of health supervision within a healthcare provider's office.
E. Teaching parents to prevent injury is an important aspect of health supervision, promoting safety and well-being for children.
F. Providing care developed from national guidelines ensures evidence-based practice and standardization of care across healthcare settings.

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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 client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.

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

Explanation

The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.

Correct Answer is ["A","B","E","F"]

Explanation

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