A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

A) Swaddle the newborn with his legs extended: This is not the appropriate way to swaddle a newborn. Swaddling should typically include flexing the legs to promote comfort and security, rather than extending them, which may be uncomfortable and less calming.

B) Maintain eye contact with the newborn during feedings: While establishing a bond with the newborn is important, excessive eye contact can overstimulate a newborn experiencing neonatal abstinence syndrome. The focus should be on creating a calming environment.

C) Minimize noise in the newborn's environment: This action is critical for a newborn experiencing neonatal abstinence syndrome, as these infants can be sensitive to stimuli. Reducing noise helps create a more soothing environment, which can alleviate symptoms of withdrawal.

D) Administer naloxone to the newborn: Naloxone is used to reverse opioid overdose, but it is not appropriate for routine treatment of neonatal abstinence syndrome. Management typically includes supportive care and, in some cases, pharmacologic treatment specific to the infant’s symptoms, rather than naloxone.

A) Schedule nursing staff training for infection control procedures: While staff training is important for reducing infection rates, it is a secondary step. First, understanding the underlying factors contributing to the increase in catheter infections is crucial.

B) Identify possible precipitating factors related to the infections: This action should be the priority. By identifying the specific causes or trends associated with the increase in infections, the charge nurse can target interventions more effectively and implement changes based on evidence.

C) Meet with providers to discuss measures to decrease the infections: Engaging providers is important, but it should occur after identifying the root causes. Once the contributing factors are understood, a more focused discussion can take place.

D) Revise the current policy for catheter care: While policy revision may be necessary, it is essential to first assess the current situation to understand why the infections are occurring. Without identifying the factors first, changes made may not address the actual issues at hand.