Nokea
The parents of a newborn plan to have him circumcised. They ask the nurse about pain associated with this procedure. What knowledge should the nurse's response be based on?
- A. Experience pain with circumcision
- B. Do not experience pain with circumcision
- C. Quickly forget about the pain of circumcision
- D. Are too young for anesthesia or analgesia
Correct Answer: B
Rationale: The response should be based on the fact that newborns do not experience pain with circumcision. This is because newborns do not have a fully developed neurological system to perceive pain in the same way that adults do. Studies have shown that the pain response in newborns is limited, and they are able to quickly recover from minor procedures like circumcision without experiencing long-lasting pain. Therefore, the nurse should inform the parents that newborns do not experience pain with circumcision. This is important for providing accurate information and alleviating the concerns of the parents.
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The physical abuse of children affects children of all ages. Serious injuries, such as head or abdominal trauma, are more likely to be inflicted by
- A. mothers
- B. fathers
- C. old brothers
- D. grand mothers
Correct Answer: B
Rationale: Fathers and male caregivers are statistically more likely to inflict serious physical abuse, including head and abdominal trauma, due to greater physical strength and aggression.
The nurse needs to obtain blood for ongoing assessment of a high-risk newborn's progress. Which tests should the nurse monitor? (Select all that apply.)
- A. Blood glucose
- B. Complete blood count (CBC)
- C. Calcium
- D. Serum electrolytes
Correct Answer: A
Rationale: Blood glucose: Monitoring blood glucose levels is crucial in high-risk newborns to ensure they are within the normal range. High or low blood glucose levels can indicate various conditions that require prompt intervention.
The nurse will monitor J.E. for the following signs and symptoms:
- A. Change in the levei of consciousness, tachypnea, tachycardia, petechiae
- B. Onset of chest pain, tachycardia, diaphoresis, nausea and vomiting
- C. Loss of consciousness, bradycardia, petechiae, and severe leg pain
- D. Change in leve! of consciousness, bradycardia, chest pain and oliguria
Correct Answer: A
Rationale: The signs and symptoms mentioned in option A are indicative of potential complications that may occur in a patient being monitored by a nurse.
A female client with lymphedema expresses her anxiety about the abnormal enlargement of an arm. Which of the ff suggestions should a nurse give to support the clients self image?
- A. Place the arm in the sling
- B. Apply cold soaks to the affected arm
- C. Introduce variations in styles of clothing
- D. Tie a tight bandage to the arm
Correct Answer: C
Rationale: Introducing variations in styles of clothing can help the client feel more comfortable and confident despite the abnormal enlargement of her arm due to lymphedema. By wearing different styles of clothing that accommodate the affected arm, the client can still express her personal style and feel good about her appearance. This approach can help improve the client's self-image and self-esteem, supporting her emotionally as she copes with the condition. Placing the arm in a sling, applying cold soaks, or tying a tight bandage are not appropriate suggestions for addressing the client's anxiety and self-image concerns in this situation.
A 19-year-old student develops symptoms of respiratory alkalosis related to an anxiety attack. Which nursing intervention is appropriate?
- A. Make sure his oxygen is being administered as ordered.
- B. Have him breathe into a paper bag.
- C. Place him in a semi-fowler's position.
- D. Have him do coughing and deep breathing exercises.
Correct Answer: B
Rationale: The appropriate nursing intervention for a 19-year-old student experiencing symptoms of respiratory alkalosis related to an anxiety attack is to have him breathe into a paper bag. Breathing into a paper bag can help increase the level of carbon dioxide in the body, which can help correct respiratory alkalosis. This technique helps to rebalance the level of carbon dioxide in the blood and alleviate the symptoms of alkalosis caused by hyperventilation during the anxiety attack. It is important to monitor the student's condition and ensure that he is using the paper bag correctly to avoid any potential risks associated with this intervention. Additionally, providing reassurance and support during this episode can also be beneficial in helping the student to manage his anxiety and respiratory alkalosis.