A nurse is caring for a neonate in the neonatal intensive care unit.

Exhibits

The nurse is reviewing the neonate's electronic medical record.

Drag words from the choices below to fill in each blank in the following sentence.

Following discontinuation of feedings, the nurse should monitor for

and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Sepsis: Preterm neonates are at increased risk for infections, including sepsis. Discontinuation of feedings, along with the other signs observed (such as abdominal distention, blood in stool, lethargy, and hypotonia), may suggest the onset of infection, which requires close monitoring.

Hypotension: Preterm neonates are also at risk for hypotension due to immature circulatory systems. The stress of gastrointestinal disturbances, such as abdominal distention and the potential for necrotizing enterocolitis (NEC), can result in decreased perfusion, contributing to hypotension.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Increased pain: Naloxone is an opioid antagonist and will reverse the analgesic effects of the opioid, likely leading to increased pain in the client.

B. Hyperglycemia: Incorrect. Naloxone does not typically cause changes in glucose metabolism.

C. Hypoventilation: Incorrect. Naloxone reverses respiratory depression, so hypoventilation is not expected after its administration.

D. Somnolence: Incorrect. Naloxone should reverse somnolence caused by opioids, leading to more alertness.

A. Encourage physical activity prior to bedtime. B. Replace the carpet with hardwood floors. C. Wear clothing with zippers instead of buttons. D. Place locks at the tops of exterior doors.

Correct Answer is D

Explanation

A. Physical activity should be scheduled earlier in the day to prevent overstimulation and promote restful sleep.

B. Hardwood floors increase the risk of falls; carpets provide better traction and cushioning.

C. Zippers can be difficult for clients with Alzheimer's; clothing with Velcro or simple fasteners is preferred.

D. Placing locks at the tops of doors reduces the risk of wandering, a common safety concern in clients with Alzheimer's.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

A nurse is caring for a 9-year-old child at a clinic. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a prescription for ____1__ and ­­­ ___2___.

A nurse is assessing a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate 4 hr ago. The nurse notes pink-tinged urine in the drainage bag. Which of the following actions should the nurse take?

A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder?

A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest?

A nurse is caring for a client on a psychiatric unit. Exhibits For each potential action, click to specify if the action is indicated or contraindicated for the client.

A nurse in an acute care mental health facility is placing a client in seclusion and restraints. Which of the following actions should the nurse plan to take?

A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage?

A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling?