A nurse is caring for a client who has a prescription for warfarin.

Which of the following laboratory tests should the nurse monitor?

Choice A Reason:

Applying talcum powder daily after bathing is not recommended, as it can pose a risk to the baby's respiratory health if inhaled.

Choice B Reason:

The water for a baby's bath should be comfortably warm, but it should not be as hot as 96 degrees Fahrenheit, as this can scald the baby's delicate skin.

Choice C Reason:

"Perform sponge baths until the baby's umbilical cord falls off." This is true. This is because newborns typically receive sponge baths until their umbilical cord stump naturally falls off, which usually occurs within the first few weeks of life. It's important to keep the area around the umbilical cord clean and dry to prevent infection. The other options are not recommended:

Choice D Reason:

Using an alkaline soap is not recommended for newborns, as their skin is sensitive. Mild, fragrance-free, and pH-balanced baby soap is typically recommended for baby's bath.

A) Coiling the tubing on the bed above the collection bag is incorrect because it can cause urine to flow back into the bladder, increasing the risk of infection and compromising the effectiveness of the drainage system. The tubing should be kept below the level of the bladder to ensure proper drainage.

B) Instructing the client to hold the drainage bag at waist height when ambulating is incorrect because the drainage bag should always be kept below the level of the bladder to prevent urine from flowing back into the bladder, which could lead to a urinary tract infection (UTI).

C) Securing the tubing with adhesive tape to the lower abdomen is correct because it helps prevent accidental pulling or tugging on the catheter, which could cause discomfort or dislodgement. Properly securing the tubing also helps maintain a continuous flow of urine and reduces the risk of infection.

D) Collecting a sterile specimen from the urinary drainage bag is incorrect because urine in the drainage bag is not considered sterile. If a sterile specimen is needed, it should be obtained by cleaning the catheter's sampling port with an antiseptic solution and withdrawing urine directly from the port using a sterile syringe.