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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced.

Which of the following interventions should the nurse include?

Place the newborn under a radiant warmer.

Supplement breastfeeding with iron-fortified formula.

Determine the effectiveness of breastfeeding.

Administer Rho(D) immune globin to the newborn.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Placing the newborn under a radiant warmer is not directly related to addressing breastfeeding-related jaundice.

Choice B rationale:

Supplementing breastfeeding with formula is not the first-line approach and may interfere with establishing successful breastfeeding.

Choice C rationale:

Breastfeeding-related jaundice can occur if the newborn is not effectively breastfeeding and not getting enough milk. Assessing the effectiveness of breastfeeding is important to address the underlying cause of jaundice.

Choice D rationale:

Administering Rho(D) immune globulin is unrelated to addressing jaundice in a breastfed newborn.

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Correct Answer is B

Explanation

Choice A rationale:

The recommended course of varenicline is longer than 30 days.

Choice B rationale:

Varenicline should be started 1 week before the client's quit date to allow the medication to reach effective levels.

Choice C rationale:

Drowsiness is not a common side effect of varenicline.

Choice D rationale:

Grapefruit interactions are not typically associated with varenicline.

A. "Follow a high-fiber diet until inflammation subsides." B. "Use a soapsuds enema as needed." C. "Avoid bending at the waist." D. "Restrict fluid intake to 1.5 liters per day."

Correct Answer is A

Explanation

Choice A rationale:

A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.

Choice B rationale:

Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.

Choice C rationale:

Bending at the waist has no effect on diverticulitis and is not a relevant instruction.

Choice D rationale:

Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.

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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced. Which of the following interventions should the nurse include?

Nursing Test Bank

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A nurse is creating a plan of care for a newborn who is breastfed and appears jaundiced.

Which of the following interventions should the nurse include?