Nokea
A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:
- A. Activates the liver to dispose the bilirubin
- B. Breaks down the unconjugated bilirubin in the skin to conjugated form permitting excretion
- C. Activates Vit. K to facilitate excretion of the bilirubin
- D. Dissolves the bilirubin and allows it to be excreted from the skin
Correct Answer: B
Rationale: Phototherapy converts bilirubin into a form that can be excreted.
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What should the nurse teach a man requesting testing for human papillomavirus (HPV)?
- A. There is currently no approved test to detect HPV in men.
- B. A viral culture of the penis and rectum is used to detect HPV in men.
- C. A Pap smear of the meatus of the penis is used to detect HPV in men.
- D. There is no need for a test because men do not become infected with HPV.
Correct Answer: A
Rationale: No approved HPV test exists for men.
When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?
- A. Academic difficulties
- B. Respiratory illness
- C. Poor sanitation
- D. Inherited diseases
Correct Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearms, hostility at school, substance use disorder, HIV/AIDS, and adverse effects of the media.
An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?
- A. Arranging for her mother to be with her
- B. Telling the child the test will not hurt
- C. Assuring the child that the test will be done quickly
- D. Introducing the child to the lab technicians
Correct Answer: B
Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it does not honor the child's right to be educated honestly about his or her health care.
In providing and teaching cord care, what is an important principle?
- A. Cord care is done only to control bleeding.
- B. Alcohol is the only agent used for cord care.
- C. The process of keeping the cord dry will decrease bacterial growth.
- D. It takes a minimum of 24 days for the cord to separate.
Correct Answer: C
Rationale: Keeping the cord dry helps prevent infection.