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 ["B","C","D"]

Explanation

Choice A rationale

While monitoring abdominal girth can be important in patients with cirrhosis, especially those with ascites, it is not typically an assessment finding that requires immediate follow-up.

Choice B rationale

A blood pressure of 82/58 mm Hg is low and could indicate hypotension, which requires immediate follow-up.

Choice C rationale

A heart rate of 101/min is elevated and could indicate tachycardia, which requires immediate follow-up.

Choice D rationale

An oxygen saturation of 92% is lower than the normal range of 95% to 100%, indicating potential hypoxia, which requires immediate follow-up.

A. Two nurses lift the patient under the shoulders. B. One nurse lifts while the patient pushes with his feet. C. Two nurses use a device to reduce friction. D. One nurse lifts the patient’s legs as the patient uses a trapeze bar.

Correct Answer is C

Explanation

Choice A rationale

Lifting a patient under the shoulders by two nurses can be strenuous and may not provide adequate support for a patient who can only partially assist.

Choice B rationale

While this method may work for some patients, it relies heavily on the patient’s strength and ability to push with their feet. If the patient is weak or unable to exert enough force, this method could be unsafe.

Choice C rationale

Using a device to reduce friction is the most appropriate technique when shifting a patient who can only partially assist. Devices such as slide sheets or transfer boards can help move the patient smoothly and with less physical strain on the healthcare provider.

Choice D rationale

Lifting the patient’s legs while the patient uses a trapeze bar requires significant upper body strength from the patient and may not be feasible for all patients.

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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

Correct Answer is ["B","C","D"]

Explanation

A nurse is planning to shift a patient who can only partially assist in bed. Which technique should the nurse consider using?

Correct Answer is C

Explanation

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