A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

keeping the newborn in the supine position

reducing the amount of fluid intake to 8 ounces daily

ensuring that the newborn is covered or clothed

covering the newborn's eyes while under the bililights

Answer and Explanation

The Correct Answer is D

A.   While positioning is important for phototherapy, the supine position may not always be necessary.
B.   Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C.   Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D.   Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.

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Correct Answer is D

Explanation

A. Asphyxia would typically manifest differently on a chest X-ray, possibly showing signs of lung collapse or consolidation.
B. Persistent pulmonary hypertension may present with other radiographic findings, such as enlargement of the heart or signs of pulmonary edema.
C. Transient tachypnea of the newborn might not produce a distinct ground glass pattern on chest X-ray.
D. Ground glass appearance on a chest X-ray is commonly associated with respiratory distress syndrome, a condition characterized by inadequate surfactant production in premature infants.

A. Adolescents can understand the concepts of right and wrong and are developing a conscience. B. Adolescents will base their actions on the avoidance of punishment and the attainment of pleasure. C. Adolescents develop their own set of morals and values and question the status quo. D. Adolescents undergo the process of developing their own set of morals at different rates. E. Adolescents are able to understand and incorporate into their behavior the concept of the "golden rule." F. Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion.

Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

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A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

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Naxlex Comprehensive Predictor Exams

While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of.

Correct Answer is D

Explanation

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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