Nokea
On admission to the nursery, a newborn is observed to be experiencing cold stress. The basis for the nursing intervention at this time would be to minimize:
- A. Shivering
- B. Hyperglycemia
- C. Oxygen consumption
- D. Metabolism of fat stores
Correct Answer: A
Rationale: Shivering increases oxygen demand.
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What information should be included in teaching an uncircumcised male to use a condom?
- A. Apply mineral oil to the shaft of the penis after applying the condom.
- B. Pull back the foreskin before applying the condom.
- C. Create a reservoir at the tip of the condom after putting it on.
- D. Wait five minutes after ejaculating before removing the condom.
Correct Answer: B
Rationale: Pulling back the foreskin ensures proper placement of the condom.
What advice should the nurse give a woman taking Fosamax (alendronate) for osteoporosis?
- A. Remain upright for 30 minutes after taking the medication.
- B. Take only after eating a full meal.
- C. Take medication in divided doses 3 times each day.
- D. Do not break or crush the tablet.
Correct Answer: A
Rationale: Remaining upright prevents esophageal irritation.
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
- A. notify the physician immediately.
- B. place a cap on the infant's head and have the mother perform kangaroo care.
- C. tell the mother that the infant must be kept in the nursery and observed for the next 4 hours.
- D. change the formula, as this is a sign of formula intolerance.
Correct Answer: B
Rationale: Kangaroo care and covering the head help conserve heat.
What is the nurse's role when preparing a mother for epidural anesthesia?
- A. Monitor the mother's contractions
- B. Ensure the mother has an empty bladder
- C. Ensure the mother is in a supine position
- D. Administer a test dose of the epidural medication
Correct Answer: C
Rationale: Ensuring the bladder is empty helps prevent complications during epidural anesthesia.
What is the priority action for a newborn with a positive Coombs test?
- A. Begin phototherapy immediately
- B. Monitor for jaundice progression
- C. Administer immunoglobulin therapy
- D. Initiate exchange transfusion procedures
Correct Answer: B
Rationale: Monitoring jaundice progression is crucial for managing hemolytic disease.