A nurse in the nursery is caring for a newborn.
The newborn’s grandmother asks if she can take the newborn to the mother’s room. What is an appropriate response by the nurse?

“Have the mother call and I will take the baby to the room.”.

“If you show me your photo identification, you can take the infant.”.

“You can push the baby to the room in a wheeled bassinet.”.

“You may carry your grandchild to the room.”. .

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A

Choice A rationale: Ensuring that the mother calls and the nurse takes the baby to the room maintains security and safety protocols. It prevents unauthorized individuals from handling the infant, thus minimizing the risk of abduction or harm.

Choice B rationale: Showing photo identification alone is not sufficient to ensure the safety of the newborn. The nurse should directly handle the transfer of the baby to maintain strict security measures and verify the proper identification in the process.

Choice C rationale: Allowing someone to push the baby in a wheeled bassinet without proper authorization and identification verification does not adhere to safety protocols. The nurse should always verify and manage the transfer to ensure the infant’s security.

Choice D rationale: Carrying the grandchild to the room without adequate identification verification and authorization does not follow safety protocols. The nurse should always be involved in the transfer to prevent any security breaches and ensure the infant’s safety.

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Correct Answer is D

Explanation

Choice A rationale

Avoiding warm water to wash the patient’s face is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice B rationale

Applying an eye patch to the patient’s right eye is not typically necessary unless the patient is experiencing double vision, which is not a common symptom of acoustic neuroma.

Choice C rationale

Providing range-of-motion exercises to the patient’s neck and shoulders is not typically necessary for a patient with a right-sided acoustic neuroma.

Choice D rationale

Placing suction equipment at the patient’s bedside can be helpful if the patient is experiencing difficulty swallowing or has a risk of aspiration due to impairment of cranial nerves IX and X111213.

A. The patient has a history of migraine headaches. B. The patient has a history of hypothyroidism. C. The patient has a history of hypertension. D. The patient has a history of bronchial asthma.

Correct Answer is D

Explanation

Choice A rationale

Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.

Choice B rationale

Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.

Choice C rationale

Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.

Choice D rationale

Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.

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A nurse in the nursery is caring for a newborn. The newborn’s grandmother asks if she can take the newborn to the mother’s room. What is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has a right-sided acoustic neuroma, resulting in impairment of cranial nerves IX andX. Which of the following interventions should the nurse implement?

Correct Answer is D

Explanation

A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

Correct Answer is D

Explanation

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A nurse in the nursery is caring for a newborn.
The newborn’s grandmother asks if she can take the newborn to the mother’s room. What is an appropriate response by the nurse?