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 B

Explanation

A. Children with health issues may actually be at an increased risk of being bullied due to differences in appearance or ability.
B. Both boys and girls are bullied, but they may experience different types of bullying. Boys usually bully boys and use physical force more often, while girls may bully girls or boys and use verbal or relational aggression more often.
C. Children who bully are not necessarily those who are lonely or have difficulty in forming friendships. Some children who bully may have high self-esteem, popularity, or social power. They may bully to dominate, control, or impress others.
D. This statement may not accurately reflect the prevalence of fear among school children and does not address the developmental concern of bullying.

A. Surgery to correct the joint and muscle alignment B. Immobilization of the shoulder and arm C. Physical therapy to the joint and extremity D. Nothing but time and let nature take its course

Correct Answer is C

Explanation

A. Surgery may be considered in severe cases or if conservative treatments fail, but it is not typically the first-line treatment for Erb's palsy.
B. Immobilization may be part of the treatment plan in some cases, but it is usually accompanied by physical therapy rather than being the sole treatment.
C. Physical therapy is often the initial treatment for Erb's palsy, focusing on gentle stretching exercises, range of motion activities, and strengthening exercises to improve muscle function and joint mobility.
D. While Erb's palsy may improve over time for some infants, early intervention with physical therapy is generally recommended to optimize outcomes and prevent long- term complications.

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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

The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?

Correct Answer is B

Explanation

A neonate is diagnosed with Erb's palsy after birth. The parents are concerned about their neonate's limp arm. The nurse explains the neonate will be scheduled to receive what recommended treatment for this condition first?

Correct Answer is C

Explanation

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