A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

asymmetrical movement

bruising over area

edema present

facial grimacing with movement

positive Babinski reflex

Answer and Explanation

Correct Answer : A,B,C,D

A.   Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B.   Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C.   Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D.   Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E.   A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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Correct Answer is ["B","C","D","E","F"]

Explanation

A. Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B. Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C. Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D. The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E. The school's response to the chronic illness can affect the child's social and emotional well-being.
F. Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.

A. Have the parent stand near and/or rub the child's feet during the procedure. B. Use restraint or "holding down" of the child during the procedure to prevent injury. C. Insert a saline lock if the child will require multiple doses of parenteral medications. D. Avoid using numbing techniques for multiple blood draws or IV insertion.

Correct Answer is C

Explanation

A. Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B. Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C. A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D. Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is conducting a psychosocial assessment of a child with asthma brought to the healthcare provider's office for a check-up Which psychosocial issues may be assessed? Select all that apply.

Correct Answer is ["B","C","D","E","F"]

Explanation

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

Correct Answer is C

Explanation

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