A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?
Lip smacking
Diaphoresis
Hypoglycemia
Transient strabismus
The Correct Answer is B
A. Incorrect. Lip smacking is not typically associated with pain in newborns and may indicate hunger or a self-soothing behavior.
B. Correct. Diaphoresis, or sweating, can be a sign of pain in newborns following circumcision. C. Incorrect. Hypoglycemia refers to low blood glucose levels and is not a direct manifestation of pain.
D. Incorrect. Transient strabismus, or crossed eyes, is not typically associated with pain in newborns and may be a normal variation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A warm extremity is not typically associated with compartment syndrome. Compartment syndrome may present with coolness due to compromised circulation.
B. Moderate pain on the ankle may be present in compartment syndrome due to increased pressure within the compartment, but it is not a specific manifestation.
C. Blanch time of 2 seconds in the toenail beds indicates normal capillary refill, which is not consistent with compartment syndrome. In compartment syndrome, capillary refill may be delayed.
D. Palpation of a weak or absent dorsalis pedis pulse is a concerning finding indicative of compromised circulation, a hallmark sign of compartment syndrome.
Correct Answer is B
Explanation
A. Vomiting is not a common adverse effect of electroconvulsive therapy (ECT). Nausea may occur, but vomiting is less common.
B. Confusion is a common adverse effect of ECT, especially immediately following the procedure. It typically resolves within a short time after the treatment.
C. Incontinence is not typically associated with ECT. However, urinary retention may occur in some cases.
D. Tinnitus (ringing in the ears) is not a common adverse effect of ECT. However, some clients may experience temporary hearing disturbances immediately following the procedure.
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