A nurse is caring for a newborn who had a circumcision 4 hr ago.During a diaper change, the nurse notes bright red blood oozing from the incision.
Which of the following actions should the nurse take?

Secure a clean diaper snugly across the newborn's penis.

Apply gentle pressure using a sterile dry gauze pad.

Rinse the newborn's penis with cool water.

Place petroleum jelly on the bleeding site.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Securing a clean diaper snugly across the newborn's penis might help manage minor bleeding but won't effectively address active oozing of bright red blood from a circumcision site.

Choice B rationale

Applying gentle pressure using a sterile dry gauze pad is the appropriate action to control bleeding. Applying direct pressure helps to stop the bleeding and allows for proper assessment of the wound.

Choice C rationale

Rinsing the newborn's penis with cool water might provide temporary relief but is not an effective method to control bleeding from a surgical site. It may also increase the risk of infection if not done sterilely.

Choice D rationale

Placing petroleum jelly on the bleeding site is typically done to prevent the diaper from sticking to the incision, but it is not sufficient to control active bleeding. .

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Correct Answer is B

Explanation

Choice A rationale

Wearing an underwire bra is not recommended for clients with inverted nipples as it can cause discomfort and restrict milk flow. Proper support without constriction is essential.

Choice B rationale

Placing breast shells in the client's bra helps to draw out inverted nipples by applying gentle pressure, making breastfeeding easier. They also protect the nipples from friction and irritation.

Choice C rationale

Providing plastic-lined breast pads may prevent leakage, but they do not address the issue of inverted nipples. Proper nipple preparation is essential for effective breastfeeding.

Choice D rationale

Applying breast cream regularly might keep the skin hydrated, but it does not help to correct the inversion of the nipples. Mechanical aids like breast shells are more effective.

Correct Answer is ["0.25"]

Explanation

Step 1 is (0.5 mg ÷ 1 mg) × 0.5 mL

Step 2 is 0.5 ÷ 1 = 0.5

Step 3 is 0.5 × 0.5 mL

Step 4 is 0.25 mL

Answer: 0.25 mL

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A nurse is caring for a newborn who had a circumcision 4 hr ago.During a diaper change, the nurse notes bright red blood oozing from the incision.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and has inverted nipples.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

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A nurse is caring for a newborn who had a circumcision 4 hr ago.During a diaper change, the nurse notes bright red blood oozing from the incision.
Which of the following actions should the nurse take?