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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

A. The state's nurse practice acts B. The American Nurses Association C. The facility's job descriptions D. The Joint Commission's legal department

Correct Answer is A

Explanation

A. The state's nurse practice acts:This is correct. State nurse practice acts provide legal guidelines and scope of practice for nurses within that state.
B. The American Nurses Association: While the ANA offers valuable resources and guidelines, it does not provide legal scope of practice specific to each state.
C. The facility's job descriptions :Facility job descriptions can outline specific roles and responsibilities but are not the legal source for scope of practice.
D. The Joint Commission's legal department: The Joint Commission sets accreditation standards but does not provide legal scope of practice guidelines for individual nurses.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bowel incontinence and is placed on a bowel training program. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A charge nurse is teaching a newly licensed nurse about the guidelines for legal scope of practice. For reference, which of the following sources should the nurse consult?

Correct Answer is A

Explanation

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