A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?

Lip-smacking

Stiﬀ posture

Weak cry

Tongue-darting

Answer and Explanation

The Correct Answer is C

c. Weak cry

Explanation: In the context of a newborn with shoulder dystocia, a weak cry can be an indication of pain. Newborns communicate their discomfort or pain through crying, and a weak cry may suggest that the newborn is experiencing pain or distress.

Option a, lip-smacking, is not necessarily a specific indication of pain in this situation. Lip-smacking can

occur due to various reasons and may not solely indicate pain.

Option b, a stiﬀ posture, may be more indicative of muscle tension or rigidity rather than pain in this

scenario.

Option d, tongue-darting, is not a specific indicator of pain in this context. Tongue-darting is a common behavior in newborns and may not be directly related to pain.

By recognizing a weak cry as a potential indication of pain in the newborn with shoulder dystocia, the nurse

can provide appropriate interventions and support to manage the newborn's pain and discomfort.

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Correct Answer is D

Explanation

When a client with active pulmonary tuberculosis (TB) receives appropriate treatment and their sputum cultures consistently show negative results for Mycobacterium tuberculosis, it indicates that the client is no longer contagious. Negative sputum cultures indicate that the infectious bacteria are no longer present or viable in the respiratory secretions, reducing the risk of transmitting the disease to others.

"You will need an annual TB skin test to see if the infection has returned": While it is important for individuals with a history of TB to undergo periodic screening, such as an annual TB skin test or interferon-gamma release assay (IGRA), to detect latent TB infection or potential reactivation, this response is not specifically related to a client with active pulmonary TB.

"You will take medication to treat your illness for the rest of your life": This response is incorrect because active pulmonary TB is typically treated with a combination of antimicrobial medications for a specific duration, usually ranging from 6 to 9 months. It is not a lifelong treatment.

However, individuals with latent TB infection may require longer-term treatment to prevent the development of active TB disease.

"You can expect the medications to turn your urine a blue-green color": This response is incorrect as medications used to treat TB do not typically cause urine discoloration. Medications such as rifampin can cause various side effects, including orange discoloration of bodily fluids like urine, tears, or sweat, but a blue-green color is not associated with TB medications.

A. "I will sleep on a soft mattress." B. "I will apply a heating pad to make my hands feel better." C. "I will take aspirin on an empty stomach." D. "I will exercise my joints as much as I can when they are inﬂamed."

Correct Answer is B

Explanation

Applying heat to the aﬀected joints can help relieve pain and stiﬀness ¹. A heating pad or warm compress

can be used to apply heat to the hands.

The other options are not correct because:

a) Sleeping on a soft mattress is not mentioned as a way to manage osteoarthritis symptoms.

b) spirin should be taken with food or milk to reduce stomach irritation .

c) Exercising inﬂamed joints excessively can worsen symptoms. It is important to balance rest and activity.

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A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has active pulmonary tuberculosis. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiﬀness. Which of the following client statements indicates understanding of the teaching?

Correct Answer is B

Explanation

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