A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry.

She is confused and having conversations with herself.

What is the appropriate response that the nurse should make?

Please take your wife to the nearest emergency room for evaluation.

Please bring your wife to the office for medication.

Your wife needs outpatient care.

Your wife needs behavioral therapy.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
The symptoms described by the baby's father, including confusion and having conversations with herself, are concerning and could indicate a severe mental health issue or a neurological problem. Urgent evaluation in an emergency room is necessary to rule out any acute medical or psychiatric condition that could be causing these symptoms. This is crucial for ensuring the safety and well-being of both the mother and the newborn.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation without a proper evaluation. The symptoms described are severe and require immediate attention in an emergency room setting, where comprehensive assessments can be conducted.
Choice C rationale:
Outpatient care is not suitable for the described symptoms. The mother's confusion and hallucinations suggest a severe condition that requires urgent evaluation in a controlled environment like an emergency room. Outpatient care might be considered after the initial assessment and stabilization, but the immediate concern is the acute nature of the symptoms.
Choice D rationale:
Behavioral therapy is not appropriate for the described

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Correct Answer is B

Explanation

Choice A rationale:
Pulmonary stenosis is characterized by a systolic ejection murmur best heard at the upper left sternal border. It does not typically produce a continuous machinery-like murmur. Pulmonary stenosis results from narrowing at the pulmonary valve, obstructing blood flow from the right ventricle to the pulmonary artery.
Choice B rationale:
A continuous machinery-like murmur is characteristic of patent ductus arteriosus (PDA). PDA is a congenital heart defect where the ductus arteriosus, a fetal blood vessel that should close after birth, remains open, allowing continuous blood flow between the aorta and pulmonary artery. This murmur is often best heard in the left infraclavicular region.
Choice C rationale:
Ventricular septal defect (VSD) typically produces a harsh holosystolic murmur heard best at the lower left sternal border. VSD is a hole in the septum separating the ventricles, allowing blood to flow from the higher-pressure left ventricle to the lower-pressure right ventricle.
Choice D rationale:
Coarctation of the aorta causes a murmur due to increased blood flow across the aortic valve. However, this murmur is not continuous and is usually systolic and best heard in the back over the left scapula.

A. It is a less expensive method of testing. B. It is not as accurate as laboratory testing. C. Children need to learn to manage their diabetes. D. The parents are better able to manage the disease.

Correct Answer is C

Explanation

Choice A rationale:
Self-monitoring of blood glucose is not recommended primarily because it is a less expensive method of testing. The main reasons for self-monitoring include empowering the child to manage their diabetes, allowing for more frequent monitoring without hospital visits, and facilitating prompt adjustments in insulin or dietary intake.
Choice B rationale:
Self-monitoring of blood glucose can be quite accurate if done correctly. Accuracy depends on proper technique, calibration of the glucometer, and regular maintenance. It is comparable to laboratory testing when performed accurately.
Choice C rationale:
Children with diabetes need to learn to manage their condition as they grow older. Teaching them self-monitoring skills empowers them to take control of their health and make informed decisions about insulin dosages, dietary choices, and physical activity levels.
Choice D rationale:
While parental involvement is essential, self-monitoring of blood glucose is primarily about empowering the child to manage their diabetes. Parents play a supportive role in educating and supervising, but the child's active involvement is crucial for long-term management.

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A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry. She is confused and having conversations with herself. What is the appropriate response that the nurse should make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?

Correct Answer is B

Explanation

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on what information?

Correct Answer is C

Explanation

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A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry.

She is confused and having conversations with herself.

What is the appropriate response that the nurse should make?