A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?

A. Incorrect. Bupropion is not typically used as a first-line treatment for bulimia nervosa. Additionally, administering it before meals is not a standard practice for managing bulimia nervosa.
B. Incorrect. Allowing the client unrestricted access to food throughout the day may exacerbate binge-eating behaviors associated with bulimia nervosa. Structured meal plans are typically recommended instead.
C. Incorrect. While monitoring weight is important in the management of bulimia nervosa, weighing the client once weekly may not provide adequate monitoring, as fluctuations in weight can occur more frequently.
D. Correct. Observing the client for a period after meals helps to prevent purging behaviors, such as self-induced vomiting or misuse of laxatives, which are common in bulimia nervosa. This intervention allows for immediate intervention if purging behaviors are observed and can help ensure the client's safety.

A. Asking the client to help with the dressing change may not be appropriate, especially if the client is frail or recovering from surgery. Older adults may have limited mobility or strength, and they may require assistance rather than being asked to participate actively.
B. Waiting for the client to approach the nurse for assistance may not be conducive to providing optimal care. Nurses should proactively assess the client's needs and offer assistance as appropriate, especially in the postoperative period when mobility may be limited.
C. Using paper tape for securing the new dressing is a good choice because older adults may have delicate skin that is prone to tearing or irritation. Paper tape is gentle on the skin and less likely to cause damage or discomfort compared to other types of adhesive dressings.
D. Applying the dressing loosely over the incision may compromise its effectiveness in providing wound protection and promoting healing. Dressings should be applied securely but not too tightly to avoid restricting circulation or causing discomfort.