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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Using an ultrasound picture as a focal point is an effective nonpharmacological distraction technique for managing labor pain.

B. Biofeedback requires prior training and is not typically initiated during labor.

C. Acupuncture requires a specialist and is not commonly initiated by nurses during labor.

D. Transcutaneous electrical nerve stimulation (TENS) is typically used for back pain rather than pelvic pressure.

A. Replace the indwelling urinary catheter. B. Perform the Credés maneuver. C. Maintain the irrigation solution rate. D. Warm the irrigation solution.

Correct Answer is C

Explanation

A. There is no need to replace the catheter unless it is obstructed or malfunctioning.

B. Credé’s maneuver is used for bladder emptying, not for continuous bladder irrigation.

C. Pink-tinged urine is expected in the first 24 hours after a transurethral resection of the prostate (TURP). The nurse should maintain the irrigation rate to prevent clot formation.

D. Warming the irrigation solution is not indicated.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is teaching a client about nonpharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A nurse is caring for a client in an outpatient clinic. Exhibits Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep.

A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia. Which of the following actions should the nurse take?

A nurse is caring for a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing _______ evidenced by the client's _______.

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

A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

A charge nurse is monitoring a newly licensed nurse who is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following statements by the newly licensed nurse indicates an understanding of the procedure?