The 6-month-old neonate is brought to the emergency department (ED). The parents state, “She is just so lethargic. Anything she eats, she vomits. Her vomit was normal initially, but now it’s dark green. Also, her stool has turned to a dark red, jelly-like consistency.” The nurse palpates the patient’s abdomen, expecting to make which assessment?

Which interventions does the nurse include in the plan of care for the 2-day-old infant who requires phototherapy for hyperbilirubinemia? Select all that apply.

During hourly rounding assessment of the patient with a chest tube for treatment of a pneumothorax, the nurse notes the patient’s chest and neck are markedly more edematous than on previous assessment. Upon palpation, crepitus is noted. Which action does the nurse take first?