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 A
Explanation
A. Check the client's pedal pulses every hour: Frequent assessment of distal circulation is crucial after a total knee arthroplasty to detect signs of compromised blood flow, such as thromboembolism or compartment syndrome. Monitoring pulses, skin color, and temperature helps identify early complications and prevent tissue damage.
B. Maintain the head of the client's bed in high-Fowler's position: High-Fowler’s position is not recommended post-knee arthroplasty as it can increase strain on the surgical site and reduce venous return from the lower extremities. Keeping the leg elevated and the client in a semi-Fowler’s or supine position is safer.
C. Remove the client's dressing when it becomes saturated: Dressings should only be removed or changed according to the provider’s protocol, typically by sterile technique. Premature removal can increase the risk of infection and disrupt the healing surgical site.
D. Place an abductor wedge under the client's right knee: Abductor wedges are primarily used after hip replacement to maintain hip alignment, not knee arthroplasty. Placing one under the knee could cause discomfort or improper positioning. Proper knee alignment involves elevation and extension support.
Correct Answer is B
Explanation
A. “I can remove my security band to give it to a family member”: Removing the security band compromises infant safety and facility protocols. Security bands must remain on the mother and infant to prevent abduction and ensure proper identification.
B. “I will have an identification that matches the one my baby wears.”: Matching identification bands for the mother and infant are a key safety measure to prevent mix-ups and unauthorized removal of the newborn. Understanding and adhering to this protocol demonstrates comprehension of facility security.
C. “I can take my baby to the lobby to visit family”: Infants should not be taken to unsecured areas like the lobby without proper authorization. Doing so violates security protocols and increases the risk of accidental or unauthorized removal.
D. “I will carry my baby to the nursery”: Infants are typically transported to the nursery by authorized staff or in secure bassinet transport. Parents should follow facility guidelines rather than carrying the baby independently to ensure safety and compliance with protocols.
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