A nurse is caring for a new mother who is worried about her newborn’s crossed eyes. What is a therapeutic response from the nurse?

I will inform your primary care provider about your concerns.

This happens because newborns lack muscle control to regulate eye movement.

I will take your baby to the nursery for further examination.

This is a concern, but strabismus can be easily treated with patching.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While it’s important to communicate any concerns to the primary care provider, this response does not provide immediate reassurance or information to the mother about her newborn’s crossed eyes.

Choice B rationale

This is the most therapeutic response. It provides factual information that can reassure the mother. Newborns often lack the muscle control to regulate eye movement, which can result in temporary crossing of the eyes.

Choice C rationale

Taking the baby to the nursery for further examination may cause unnecessary worry for the mother. It’s better to provide reassurance and education first.

Choice D rationale

This response may cause unnecessary worry for the mother. Strabismus, or constant misalignment of the eyes, is not typically seen in newborns and would require treatment. However, temporary crossing of the eyes due to lack of muscle control is normal. Propranolol Propranolol Explore

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Correct Answer is D

Explanation

Choice A rationale

Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.

Choice B rationale

Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.

Choice C rationale

Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.

Choice D rationale

Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.

A. Perform passive range of motion exercises on the right leg. B. Perform isometric exercises on both legs. C. Perform active range-of-motion exercises on the left leg. D. Log roll the patient every 2 hours.

Correct Answer is C

Explanation

Choice A rationale

Performing passive range of motion exercises on the right leg in Buck’s traction may not be appropriate. These exercises involve moving the joint without the patient’s muscles doing the work, which could disrupt the traction.

Choice B rationale

Isometric exercises involve contracting the muscles without moving the joints. While these exercises can be beneficial for maintaining muscle strength, they may not promote mobility.

Choice C rationale

Performing active range-of-motion exercises on the left leg can help promote mobility. These exercises involve the patient moving the joint through its full range of motion, which can help maintain joint flexibility and muscle strength.

Choice D rationale

Log rolling the patient every 2 hours may not be appropriate for a patient in Buck’s traction. This technique involves turning the patient as a unit to prevent twisting and protect the spine, which could disrupt the traction.

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A nurse is caring for a new mother who is worried about her newborn’s crossed eyes. What is a therapeutic response from the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a patient whose right leg is in Buck’s traction.Which interventions should the nurse implement to promote the patient’s mobility?

Correct Answer is C

Explanation

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