SOLVED1619
A nurse is caring for a newborn who is 48 hr old. Exhibit 1 Vital Signs Day 2, 0900: Exhibit 2 PREVIOUS Exhibit 3 Heart rate 174/min Respiratory rate 88/min Temperature 36.1° C (97.0° F) Oxygen saturation 97% on room air Exhibit 4 Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress. Place newborn skin to skin on birthing parent’s chest. Plan to initiate phototherapy. Actions to Take Obtain a prescrip- tion for arterial blood gases. Perform neonatal abstinence sys- tem scoring. Encourage birthing parent to breastfeed. Cold stress Potential Condition Acute bilirubin en- cephalopathy Neonatal absti- nence syndrome (NAS) Respiratory dis- tress syndrome â—† Temperature Blood glucose level Parameters to Monitor Lung sounds Bilirubin level Stool output
SCIENCE
HEALTH SCIENCE
NURSING
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