A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take?
Wrap the newborn loosely in a blanket.
Encourage frequent eye contact with the newborn during feedings.
Provide frequent stimulation for the newborn.
Decrease the lighting levels in the nursery.
The Correct Answer is D
A. Wrap the newborn loosely in a blanket: Infants with neonatal abstinence syndrome (NAS) benefit from being swaddled snugly, not loosely. Tight swaddling helps reduce hyperactivity, self-stimulating movements, and agitation associated with withdrawal.
B. Encourage frequent eye contact with the newborn during feedings: Excessive eye contact can overstimulate an infant with NAS, increasing irritability and stress. Minimizing visual stimulation during feedings helps promote calm and successful feeding.
C. Provide frequent stimulation for the newborn: Newborns with NAS are highly sensitive to environmental stimuli. Providing frequent stimulation can exacerbate symptoms such as tremors, irritability, and high-pitched crying.
D. Decrease the lighting levels in the nursery: Reducing environmental stimuli, including dimming lights and minimizing noise, helps calm infants experiencing NAS. A low-stimulation environment is a key nonpharmacologic intervention to reduce withdrawal symptoms and support neurodevelopment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased urinary frequency: Sertraline, a selective serotonin reuptake inhibitor (SSRI), is not commonly associated with increased urinary frequency. Urinary changes are more often related to other medication classes, such as diuretics or alpha-blockers.
B. Excessive sweating: Hyperhidrosis, or excessive sweating, is a known adverse effect of SSRIs, including sertraline. It occurs due to increased serotonergic activity affecting thermoregulatory centers and can be bothersome enough to require dose adjustment or symptomatic management.
C. Metallic taste in mouth: A metallic taste is more commonly reported with certain antibiotics or chemotherapy agents rather than SSRIs like sertraline. It is not a typical adverse effect of this medication.
D. Dry cough: Dry cough is not a recognized adverse effect of sertraline. Respiratory symptoms are uncommon with SSRIs and should prompt evaluation for other causes.
Correct Answer is B
Explanation
A. Grasp the IV pump cord when unplugging it from the electrical outlet: Pulling the cord instead of the plug can damage the wiring, create sparks, or cause electrical shock. Proper technique is to grasp the plug directly to safely disconnect the device.
B. Check the cords of the IV pump for fraying: Inspecting cords for damage or fraying is a critical safety measure to prevent electrical shock, short circuits, or malfunction of the IV pump. This step is essential before every use to ensure safe operation and patient safety.
C. Remove the safety inspection sticker before plugging in the IV pump: Safety inspection stickers indicate that the equipment has been tested and approved for use. Removing them is unsafe and unnecessary; they should remain intact to confirm compliance with safety standards.
D. Ensure that the electric outlet has two prongs for the IV pump: IV pumps require grounded three-prong outlets to ensure electrical safety. Using a two-prong outlet eliminates grounding and increases the risk of electrical shock or equipment malfunction.
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