Nokea
The nurse is contributing to a staff education program about non-pharmacological pain management techniques for newborns and infants. Which of the following techniques should the nurse include in the program? Select all that apply.
- A. Allow a newborn to suck on a gloved finger dipped in sucrose solution during a circumcision
- B. Apply a cold pack to a newborn’s heel 30 minutes before performing a heel stick
- C. Assist the parent to hold a newborn skin-to-skin during an IM injection
- D. Offer a pacifier to an infant while performing venipuncture
- E. Swaddle an infant while leaving the affected arm unwrapped during an IV dressing change
Correct Answer: A,C,D,E
Rationale: Sucrose sucking, skin-to-skin contact, pacifier use, and swaddling reduce pain perception in infants. Cold packs are not recommended for newborns due to risk of tissue damage and ineffective pain relief in this context.
You may also like to solve these questions
The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse's response?
- A. Electrical energy fields
- B. Spinal column manipulation
- C. Mind-body balance
- D. Exercise of joints
Correct Answer: B
Rationale: Spinal column manipulation. The theory underlying chiropractic is that interference with transmission of mental impulses between the brain and body organs produces diseases. Such interference is caused by misalignment of the vertebrae. Manipulation reduces the misalignment (subluxation).
The practical nurse is assisting the registered nurse in caring for 4 clients in the pediatric emergency department. Which client should be seen first?
- A. Adolescent with abdominal pain, heart rate 120/min, and respirations 26/min
- B. Child with history of cystic fibrosis has new yellow sputum and cough today
- C. Crying infant with fiery redness and moist papules in the diaper region
- D. Grade-school child with swollen ecchymotic ankle after playing basketball
Correct Answer: A
Rationale: The adolescent with abdominal pain, tachycardia (heart rate 120/min), and tachypnea (respirations 26/min) may have a serious condition like appendicitis or perforation, requiring urgent evaluation. The other clients' conditions are less acute.
Client self-determination is the primary focus of:
- A. malpractice insurance.
- B. nursing's advocacy for clients.
- C. confidentiality.
- D. health care.
Correct Answer: B
Rationale: Nursing advocacy prioritizes client self-determination, supporting autonomy in healthcare decisions. The other options address different aspects of care or legal protection. Coordinated Care
A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
- A. review their own cultural beliefs and biases.
- B. respectfully request that the couple utilize only medically approved health care providers.
- C. realize that the clients have to learn their new country's accepted medical practices.
- D. study family dynamics to understand the male and female gender roles in the clients' culture.
Correct Answer: A
Rationale: Self-awareness of the nurse's own cultural biases is the first step in providing culturally competent care, ensuring nonjudgmental interactions. The other actions are secondary or prescriptive. Psychosocial Integrity
Which of the following observations indicates the possibility of a birth injury related to forceps delivery?
- A. Asymmetry of the mouth
- B. Pectus excavatum
- C. Caput succedaneum
- D. Strabismus
Correct Answer: A
Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.