A nurse is assisting in the care of clients on a postpartum unit. Which of the following events should the nurse identify as needing to initiate a security alert for?
A hospital volunteer leaves the unit with the newborn to allow caregiver to rest.
Another nurse on the unit requests to take the newborn to the nursery to obtain newborn screening
An assistive personnel weighs and bathes the newborn in an empty client room.
The caregiver and newborn have matching hospital identification bracelets
The Correct Answer is A
A. A hospital volunteer leaves the unit with the newborn to allow caregiver to rest: Hospital volunteers are not authorized to transport newborns, especially off the unit. Removing a newborn without proper clinical authorization represents a significant security risk and requires immediate initiation of a security alert to prevent potential abduction.
B. Another nurse on the unit requests to take the newborn to the nursery to obtain newborn screening: A licensed nurse transporting a newborn for required screening is an expected and appropriate practice. This follows standard hospital protocol and does not indicate a security concern when proper identification procedures are followed.
C. An assistive personnel weighs and bathes the newborn in an empty client room: Assistive personnel may perform routine newborn care under facility policy and nursing delegation. While supervision and proper identification are required, this situation alone does not necessitate a security alert.
D. The caregiver and newborn have matching hospital identification bracelets: Matching identification bands indicate that correct newborn identification procedures are in place. This supports infant safety and does not represent a situation requiring security intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An infant who has respiratory syncytial virus and a respiratory rate of 70/min: This infant is experiencing tachypnea, which indicates respiratory distress. Discharging during a storm would place the infant at high risk for decompensation and inadequate access to emergency care.
B. An adolescent who has cystic fibrosis and is receiving their yearly tune-up: A routine annual check-up indicates the adolescent is stable and does not require acute care. This client is the safest candidate for discharge during a storm, as their condition is not immediately life-threatening.
C. A child who has a new diagnosis of type 1 diabetes mellitus and is receiving IV insulin: This child requires close monitoring and titration of insulin therapy, making discharge unsafe. Early management of new-onset diabetes involves frequent assessments that cannot be delayed.
D. A child who has leukemia and an absolute neutrophil count of 200/mm³: Severe neutropenia places the child at high risk for infection. Discharge during a storm could prevent timely access to emergency care if complications arise.
Correct Answer is D
Explanation
A. Open the flap on the sterile kit nearest to the nurse and place the flap on the work surface: Opening the flap closest to the nurse first increases the risk of contaminating the sterile field. The nurse’s arms and clothing could cross over the field, compromising sterility.
B. Open the side flap of the sterile kit, allowing it to lie flat on the work surface: Side flaps are opened after the flap farthest from the nurse. Opening side flaps prematurely can increase the chance of contaminating the sterile contents.
C. Apply sterile gloves: Sterile gloves are applied after the sterile field has been properly opened and prepared. Donning gloves before opening the sterile kit does not follow the correct sequence of steps.
D. Open the outermost flap of the sterile kit away from the nurse's body: Opening the flap farthest from the nurse first prevents reaching over the sterile field. This action helps maintain sterility and establishes a safe sterile field for the procedure.
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