A nurse in a pediatric unit is caring for a group of clients. For which of the following diseases should the nurse implement droplet precautions?

A. The newborn's neck is short and surrounded by skin folds: A short neck with skin folds can be a normal variant in some newborns, especially those with subcutaneous fat. While it may warrant observation for potential anomalies, it is not an immediate concern at 24 hours of age.

B. The newborn's glucose level is 50 mg/dL: A glucose level of 50 mg/dL is within the normal range for a full-term newborn. Routine monitoring is sufficient, and this finding does not require urgent reporting.

C. The newborn's sclerae have a yellowish tint: Jaundice appearing within the first 24 hours of life can indicate pathological jaundice, which may result from hemolysis, infection, or metabolic disorders. Early-onset jaundice requires prompt evaluation and intervention to prevent complications such as kernicterus.

D. The newborn has experienced a weight loss of 3% since birth: A weight loss of up to 5–7% in the first few days after birth is considered normal due to fluid shifts. A 3% loss is expected and does not necessitate immediate reporting.

A. Hospice care improves quality of life through palliative care: Hospice focuses on providing comfort, symptom management, and emotional support for clients with terminal illnesses. The primary goal is enhancing quality of life rather than curing the underlying disease.

B. Hospice care provides 24-hr, in-home care: While hospice offers support and on-call services, it does not guarantee continuous 24-hour in-home care. Family caregivers remain the primary providers of daily care, with hospice staff available for assistance as needed.

C. Hospice care is intended to postpone death: Hospice care is not designed to prolong life but to ensure comfort and dignity at the end of life. Interventions are focused on symptom relief rather than curative treatments.

D. Hospice care encourages the family to coordinate health care services: Hospice staff coordinate care, relieving the family of managing complex medical needs. Families are supported rather than being responsible for coordinating all services themselves.