A nurse is assisting in the care of a newborn who has
a high-pitched cry and does not respond to consoling
efforts. Which of the following neonatal data collection
tools should the nurse expect to complete? -
....ANSWER....Neonatal Abstinence Scoring System
A nurse is reinforcing teaching about newborn
umbilical cord care with a client who is postpartum.
Which of the following statements should the nurse
identify as an indication that the client understands
the instructions? - ....ANSWER...."I will report any
drainage from my baby's umbilical cord."
A nurse on a postpartum unit is assisting in the care
of a client who is experiencing hypovolemic shock.
Which of the following actions should the nurse take?
- ....ANSWER....Insert an indwelling urinary catheter
A nurse in an antepartum clinic is reinforcing teaching
about how to prevent supine hypotension with a client
who is at 16 weeks of gestation. Which of the following
responses by the client indicates an understanding of
the teaching? - ....ANSWER...."I will lie on my left side
with my head elevated on a pillow."
A nurse is assisting in the care of a newborn who is
large for gestational age and is jittery. Which of the
following actions should the nurse take first? -
....ANSWER....Check the newborn's blood glucose level
A nurse is assisting with the care of a client who is at
39 weeks of gestation. Which of the following
statements should alert the nurse as a sign of a
potential complication? - ....ANSWER...."I have pain in
my upper right abdomen."
A nurse is planning to perform a blood collection via
heel stick on a newborn. After performing hand
hygiene and donning gloves, which of the following
actions should the nurse plan to take next? -
....ANSWER....Wrap the newborn's heel with a cloth
moistened with warm water
A nurse is reinforcing teaching about newborn home
safety precautions with a group of parents. Which of
the following instructions should the nurse include? -
....ANSWER...."You should ensure that crib slats are no
more than 2.25 inches apart."A
The nurse is continuing to care for the adolescent.
Which of the following should the nurse take? -
....ANSWER....Administer ceftriaxone into the
ventrogluteal muscle
Reinforce education to the adolescent about safe sex
practice
The nurse should anticipate a provider's prescription
for - ....ANSWER....Ceftriaxone
Doxycycline
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