A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?
Methadone
Meperidine
Hydromorphone
Fentanyl
The Correct Answer is A
A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Coordinating client care is typically a responsibility of registered nurses (RNs) who have advanced training and education in care coordination and management.
B. Providing direct client care, under the supervision of registered nurses or physicians, is a primary responsibility of licensed practical nurses (LPNs). This may include administering medications, assisting with activities of daily living, and monitoring clients' vital signs.
C. Assessing a client's health status is within the scope of practice of both registered nurses and licensed practical nurses, but LPNs typically perform more focused assessments compared to
RNs.
D. Identifying specific client health problems often involves critical thinking and clinical judgment, which are skills typically developed through higher levels of education and experience. While LPNs may identify issues during routine care, diagnosing health problems is generally the responsibility of the healthcare provider.
Correct Answer is B
Explanation
A. Telling the client to ignore others minimizes their feelings and does not address the underlying issue of bullying or social discomfort.
B. Validating the client's feelings acknowledges their emotions and demonstrates empathy, which can help build trust and rapport with the client.
C. While it's important to address the client's needs, dismissing their concerns about social interactions may contribute to feelings of isolation and neglect.
D. Offering reassurance without addressing the client's current distress may invalidate their feelings and overlook the need for support and intervention in the present moment.
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