Frequent feeding-It is important for babies receiving phototherapy to drink adequate fluids (ideally breast milk) since bilirubin is excreted in urine and stool. Breastfeeding should continue during phototherapy.
Use of oral glucose water is not necessary. In babies with serious dehydration, intravenous (IV) fluids may be necessary to correct the loss of fluid.
what is jaundice?
In medicine, a yellowish hue on the skin is referred to as jaundice. A chemical called bilirubin, which is naturally produced by the body, is what gives things their yellow hue. The yellow hue is caused by bilirubin accumulation in the skin of infants who have "hyperbilirubinemia," a disorder marked by elevated blood levels of bilirubin.
Exchange transfusion — Exchange transfusion is an emergency, life-saving procedure that is sometimes necessary to rapidly decrease bilirubin levels.
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a 61-year-old man has a longstanding history of peripheral artery disease that has progressed in recent months to acute limb ischemia (ali). as a result, he has just undergone bilateral arterial bypass grafts and is postoperative day 1. the nurse's most recent assessment reveals that the patient's left foot is cold to touch and dusky in appearance with nonpalpable peripheral pulses. how should the nurse respond to this assessment finding?
If the nurse reacts to this assessment finding, she should promptly inform the surgeon.
Why do patients make calls?The Latin root "patiens," which meaning to tolerate suffering, is the source of the English term "patient." In this phrase, the patient is actually passive, undergoing whatever suffering is necessary, and graciously accepting the therapy from the outside expert.
Why do doctors refer to patients as such?The Latin word "pati," which means "the one who suffers," is the source of the English term "patient." Patients are now defined as "those who get medical care or treatment" by Merriam-Webster. The term "patient" has been used since the 14th century and traditionally refers to a person who seeks medical attention from a doctor.
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patient born in community hospital, with erythroblastosis fetalis due to abo incompatibility; transferred immediately after birth to intensive care nursery at university hospital for further care
In a community hospital, an infant born with erythroblastosis fetalis due to ABO incompatibility. Patient was moved to University Hospital's intensive care nursery soon after delivery for further care. Community Hospital's principal (first-listed) diagnosis should be coded Z38.00.
What is code Z38.00?WHO considers ICD-10 code Z38.00 as a medical classification for a single liveborn infant delivered vaginally. Other single liveborn infant ICD-10 codes are as follows:
Z3800: a single liveborn infant - delivered vaginally.Z3801: a single liveborn infant - delivered by cesarean.Z381: a single liveborn infant - born outside of a hospital.Z382: a single liveborn infant - unspecified as to place of birth.Learn More
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the nurse is working with a client who has difficulty controlling blood sugar. the client is classified as overweight. the client does not adhere to a low-calorie diet and forgets to take medications and check blood glucose level. the client's glycohemoglobin is 8.5%. when establishing a goal for the client, what action will the take first?
The condition that client facing is hyperglycemia: The nurse should first control the diet of the client and drink plenty of sugar free fluids and exercise more often.
What is hyperglycemia?
High blood sugar is formally referred to as hyperglycemia (blood sugar). When the body can't properly use its insulin supply or has too little of it, high blood sugar results. Hyperglycemia, a condition linked to diabetes, can result in symptoms such as vomiting, extreme appetite and thirst, a quick heartbeat, eyesight issues, and more. Hyperglycemia that is not addressed might cause major health issues.
A person has hyperglycemia if their blood glucose is greater than 180 mg/dL one to two hours after eating.
Things that should be done are :
1.Exercise to help lower blood sugar
2.Don’t smoke.
3.Follow your meal plan if you have one
4.Limit drinking alcohol
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a client is diagnosed with deep vein thrombosis (dvt). which nursing diagnosis should receive highest priority at this time?
Nursing diagnosis that should receive highest priority at this time is Ineffective peripheral tissue perfusion related to venous congestion.
Why Ineffective peripheral tissue perfusion related to venous congestion.?
Due to venous inflammation and clot formation, ineffective peripheral tissue perfusion caused by venous congestion is given first importance.What is Ineffective peripheral tissue perfusion related to venous congestion?
Lack of understanding of the illness process, hypertension, smoking, and a sedentary lifestyle may be associated to inefficient peripheral tissue perfusion. These factors may be indicated by changed skin features, weaker pulses, claudication, and a delay in the healing of peripheral wounds.What exactly does "ineffective tissue perfusion" mean?
There is a chance that poor blood flow will reduce oxygenation to tissues, resulting in cellular damage and poor tissue function.To know more about DVT, checkout this link:
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When a client with a history of chronic myelogenous leukemia and splenomegaly is admitted to the hospital, which finding will the nurse expect during the assessment?
A nurse is caring for a client with a history of chronic myelogenous leukemia and splenomegaly. The nurse will expect this finding: a tender mass in the left upper abdomen.
What are chronic myelogenous leukemia and splenomegaly?Chronic myelogenous leukemia or CML is a bone marrow cancer that appears as the spongy tissue inside bones where the blood cells are made. This spongy tissue affects the number of white blood cells in the patient’s blood. Meanwhile, splenomegaly is a condition where the spleen is enlarged due to different issues. In this context, the client has had splenomegaly because of chronic myelogenous leukemia.
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to check for arterial insufficiency when a client is in a supine position, the nurse should elevate the extremity at a 45-degree angle and then have the client sit up. the nurse suspects arterial insufficiency if the assessment reveals:
The nurse suspects arterial insufficiency if the assessment reveals dependent pallor.
What is dependent pallor with explanation?Elevating the limb could reveal a pallor due to poor circulation if arterial insufficiency is present. The presence of rubor and longer venous filling times would indicate venous issues brought on by venous entrapment and ineffective valves.Pallor upon elevation and rubor upon dependence in patients are frequently the first signs of vascular insufficiency. Remember that the time it typically takes for blood to return to the dependent extremity after elevation is less than 20 seconds.An erythematous darkening of the limbs known as dependent erythema or rubor is most frequently linked to peripheral vascular disease. We describe a case of florid dependent erythema that was also accompanied by other autonomic symptoms.To learn more about pallor refer to:
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dental students healed more slowly from punch wounds received three days prior to a major exam than from punch wounds received during their summer vacation. the slower healing prior to a major exam is best explained by the students' temporarily reduced release of
The slower healing prior to a major exam is best explained by the students' temporarily reduced release of Lymphocytes.
The majority of childhood tooth injuries, which affect close to 50% of children, are preventable. Mouth injuries are also rather typical. After a fall, car accident, sports injury, or fight, tooth and mouth injuries are common.
The majority of the time, mouth and tooth injuries are not fatal. Rarely can a child experience life-threatening problems. The child's appearance and self-confidence may potentially suffer long-term repercussions from dental and mouth injuries.
This item will go over the most frequent causes, assessments, and treatments for tooth and mouth injuries, as well as when to get help from a doctor.
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the clinic nurse assesses the skin of a client with psoriasis after the client has used a new topical treatment for 2 months. the nurse identifies which characteristics as improvement in the manifestations of psoriasis? select all that apply.
Absence of any ecchymosis on the extremities, Thinner and decrease in number of reddish plaques and Scarce amount of silvery-white scaly patches on the arms these are the clinic nurse assesses the skin of a client with psoriasis after the client has used a new topical treatment for 2 months.
Thick reddish papules or plaques coated in silvery-white patches are among the skin lesions associated with psoriasis. An improvement is seen as a decrease in the severity of these skin lesions. Psoriasis is unrelated to the existence of striae (stretch marks), perceptible pulses, or a lack of ecchymosis.The skin areas that make up psoriasis plaques are elevated, inflammatory, scaly, and may also be unpleasant and irritating. Plaques often show up as elevated, red areas on Caucasian skin that are covered in a silvery white accumulation of dead skin cells or scale. On skin of colour, the plaques may seem thicker, darker, and more purple, grey, or darker brown in hue.Plaques psoriasis can be found anywhere on the body, but the scalp, knees, elbows, and chest are where they are most frequently found. Plaques typically affect the same areas of the body on both the right and left sides, and they typically appear symmetrically.To know more about psoriasis check the below link:
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a child is brought to the emergency department, and diagnostic x-rays of the child reveal that a fracture is present. the mother states that the child was rollerblading and attempted to break a fall with an outstretched arm. a plaster of paris cast is applied to the arm. which instructions should the nurse provide the mother? select all that apply.
A plaster of Paris cast is applied to the arm of the child, the nurse provided some basic instruction to the mother to maintain the cast on the arm of a child.
What is Paris cast?
White powdery slightly hydrated calcium sulfate CaSO4·¹/₂H2O or 2CaSO4·H2O that is made by calcining gypsum forms a quick-setting paste with water and is used in medicine chiefly in casts and for surgical bandages.
Compared to synthetic cast material, the plaster of Paris is heavier. It is less expensive than a synthetic cast and quickly molds to the extremities. Normally, it takes 24 hours for the cast to dry, although the length of time may vary depending on the size of the cast. When wet, the plaster of Paris loses its water resistance and starts to crumble. On the first day, while the cast is molding to the arm, it should be raised on a cushion to reduce swelling. The child's fingers must move freely during the casting process since the extremity keeps swelling. The youngster has enough mobility if they can move their fingers.
Hence, the nurse has provided four instructions to the mother:
Keep the cast elevated on pillows for the first day. Make sure that the child can frequently wiggle the fingers.The cast will mold to the body part.The cast needs to be kept dry because it will begin to disintegrate when wet.To learn more about the plaster and Paris the link is given below:
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What is the chemical that refluxes into the esophagus, causing the burning pain of gerd?.
Answer: stomach acid, particularly HCI
Explanation: