A nurse is assisting in the care of a newborn.
A nurse is reinforcing discharge education with the parents of a newborn. For each potential point, click to specify if the teaching is anticipated or contraindicated for the newborn.
Apply petrolatum to penis with each diaper change
Use a diaper barrier cream that contains zinc oxide
Use alcohol-based baby wipes on the soiled genital area
Fold the diaper below the umbilical cord at all times
Apply alcohol to the umbilical stump with a diaper change
Use a soft-bristled brush with mild shampoo to wash the head
Bathe in a shallow warm tub every other day
Cover the hands with socks or sleeves at all times
Apply mildly scented lotion to face as needed
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"B"},"I":{"answers":"B"}}
- Apply petrolatum to penis with each diaper change: Applying petrolatum prevents the healing circumcision site from adhering to the diaper, reducing pain and promoting proper healing.
- Use a diaper barrier cream that contains zinc oxid: Zinc oxide is used for diaper rash treatment but is not routinely necessary. It may interfere with circumcision healing by creating a barrier that retains moisture.
- Use alcohol-based baby wipes on the soiled genital area: Alcohol-based wipes can be too harsh on a newborn’s delicate skin and may cause irritation, especially on the healing circumcision site.
- Fold the diaper below the umbilical cord at all times: Folding the diaper below the umbilical cord keeps the area dry and exposed to air, promoting natural drying and reducing the risk of infection.
- Apply alcohol to the umbilical stump with a diaper change: Alcohol was previously used to dry the cord, but current guidelines recommend keeping it clean and dry, allowing it to fall off naturally.
- Use a soft-bristled brush with mild shampoo to wash the head: A soft-bristled brush helps loosen cradle cap (seborrheic dermatitis), preventing buildup of flaky skin without causing irritation.
- Bathe in a shallow warm tub every other day: Full immersion bathing should be avoided until the umbilical cord stump falls off to prevent moisture retention and infection. Sponge baths are recommended instead.
- Cover the hands with socks or sleeves at all times: While covering hands temporarily can prevent scratches, prolonged covering may interfere with newborn sensory development and exploration.
- Apply mildly scented lotion to face as needed: Newborn skin is sensitive, and scented lotions may cause irritation or allergic reactions. If needed, only fragrance-free moisturizers should be used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["33"]
Explanation
Given:
Total volume to infuse: 100 mL
Infusion time: 60 minutes
Drop factor of tubing: 20 gtt/mL
To find:
Drip rate (gtt/min)
Step 1: Calculate the total number of drops
Total drops = Total volume x Drop factor
Total drops = 100 mL x 20 gtt/mL = 2000 gtt
Step 2: Calculate the drip rate
Drip rate = Total drops / Infusion time in minutes
Drip rate = 2000 gtt / 60 minutes = 33.33 gtt/min
Step 3: Round to the nearest whole number
33 gtt/min.
Correct Answer is ["3.6"]
Explanation
Given:
Desired dose: Ceftazidime 1 g IM every 6 hours
Available concentration: Ceftazidime 280 mg/mL
To find:
Volume to administer (in mL)
Step 1: Convert desired dose to milligrams
1 gram (g) is equal to 1000 milligrams (mg).
Multiply by 1000:
Desired dose (mg) = Desired dose (g) x 1000
Desired dose (mg) = 1 g x 1000 = 1000 mg
Step 2: Set up the proportion
We can use the following proportion to solve the problem:
(Desired dose) / (Available concentration) = Volume to administer
Step 3: Substitute the values
Plugging in the given values, we get:
(1000 mg) / (280 mg/mL) = Volume to administer
Step 4: Simplify
To simplify, we can invert the denominator and multiply:
(1000 mg) x (1 mL / 280 mg) = Volume to administer
The "mg" units cancel out, leaving us with:
(1000 x 1 mL) / 280 = Volume to administer
Step 5: Calculate
Performing the multiplication and division, we get:
1000 mL / 280 = Volume to administer
3.57 mL ≈ Volume to administer
Step 6: Round to the nearest tenth
3.6mL
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