Pediatric NCLEX Questions Related

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The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?

  • A. Allow newborn to sleep with pacifier to decrease stimuli.
  • B. Keep newborn awake to monitor central nervous system changes.
  • C. Encourage parents to hold and feed newborn to facilitate attachment during illness.
  • D. Awaken newborn periodically to assess level of consciousness.
Correct Answer: D

Rationale: During the acute phase of treatment with IV calcium gluconate for hypocalcemia in a newborn, it is essential to closely monitor the newborn's level of consciousness. Hypocalcemia can lead to central nervous system changes, such as irritability, jitteriness, and seizures. By awakening the newborn periodically to assess their level of consciousness, the nurse can promptly identify any signs of worsening central nervous system involvement and take appropriate action. This intervention ensures timely detection of any neurological complications and allows for timely intervention to prevent serious consequences. The other options do not address the importance of monitoring for central nervous system changes during the acute phase of treatment for hypocalcemia.