A nurse is preparing discharge instructions for a newborn who has been hospitalized for a week due to jaundice. The newborn’s gestational age is now 36 weeks. Which of the following is the most appropriate follow-up care?
Schedule a home visit in 3 weeks for weight and growth monitoring.
Return to the primary health care provider in 3 days for a follow-up appointment.
Cover the baby with a phototherapy blanket at home when sleeping.
Return the baby for immunization in 1 month.
The Correct Answer is B
The correct answer is choice B. Return to the primary health care provider in 3 days for a follow-up appointment.
Choice A rationale:
Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice. Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.
Choice B rationale:
Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action. This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.
Choice C rationale:
Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision. Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.
Choice D rationale:
Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment. Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Block the coworker's access to social media on hospital computers. Blocking access to social media on hospital computers may prevent future posts but does not address the immediate HIPAA violation or educate the coworker about proper conduct.
B. Refer the coworker to the hospital ethics committee. This may be a subsequent step if the violation is severe, but it does not provide an immediate response to the HIPAA breach.
C. Tell the coworker to delete the social media post. While this might remove the current violation, it does not follow the proper protocol for reporting HIPAA breaches and does not ensure accountability or prevent future incidents.
D. Report the coworker's post to the nurse manager or supervisor. This is the correct action. Reporting to the nurse manager or supervisor ensures that the incident is documented, investigated, and handled according to the hospital’s policies and HIPAA regulations.
Correct Answer is A
Explanation
A. Eat high-carbohydrate foods. High-carbohydrate foods are typically easier to digest and can help manage nausea.
B. Eat 30 min before chemotherapy. Eating just before chemotherapy can increase nausea and vomiting.
C. Eat foods that are warm in temperature. Warm foods can sometimes exacerbate nausea; cool or room-temperature foods are often better tolerated.
D. Eat three large meals each day. Small, frequent meals are recommended to help manage nausea and vomiting.
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