A nurse is performing a head-to-toe assessment on a newborn. Which of the following actions should the nurse take to prevent heat loss through conduction?

Conduct the assessment before drying the newborn.

Check the newborn's rectal temperature every hr.

Place the newborn in an open crib for the initial assessment.

Cover scale with warm blankets when weighing the newborn.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Conduct the assessment before drying the newborn: Performing the assessment before drying exposes the newborn’s wet skin to cooler air and surfaces, increasing heat loss through evaporation, not conduction. The newborn should always be thoroughly dried immediately after birth to conserve body heat.

B. Check the newborn's rectal temperature every hr: Frequent temperature monitoring does not prevent heat loss; it only identifies hypothermia after it occurs. Additionally, rectal temperature measurement may cause mucosal injury and is not routinely recommended for newborns.

C. Place the newborn in an open crib for the initial assessment: Placing the newborn in an open crib exposes the infant to cooler air and surfaces, increasing heat loss through convection and conduction. The initial assessment should occur under a radiant warmer to maintain thermal stability.

D. Cover scale with warm blankets when weighing the newborn: Covering the scale prevents conduction heat loss, which occurs when the newborn’s skin comes into contact with cold surfaces. Using a warm blanket or pad ensures the infant’s body heat is preserved during weighing or handling.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Advise the client to wait 1 hr before showering or swimming: Testosterone gel should be allowed to fully absorb into the skin before washing or swimming, typically waiting at least 1 hour. This ensures optimal absorption and therapeutic effect.

B. Instruct the client to have his testosterone checked in 1 week: Testosterone levels are generally evaluated after several weeks of therapy to assess effectiveness, not after just one week.

C. Wear clean gloves to apply the gel: The client should apply the medication themselves using clean, dry hands. The nurse should wear gloves only if assisting to prevent unintentional hormone absorption.

D. Apply the gel to the client's genital region: Testosterone gel should not be applied to the genitals due to increased absorption risk and skin irritation. Recommended sites include shoulders, upper arms, or abdomen.

A. "Purchasing more expensive items will improve quality health outcomes." B. "Preventing readmissions will decrease overutilization of services." C. "Planning a 10-year budget will ensure cost-effective care." D. "Hiring travel nurses is an effective method of cost containment."

Correct Answer is B

Explanation

Rationale:
A. "Purchasing more expensive items will improve quality health outcomes.": Higher cost does not necessarily correlate with better outcomes. Cost-effectiveness focuses on achieving optimal results while minimizing unnecessary expenses, not simply purchasing pricier items.

B. "Preventing readmissions will decrease overutilization of services.": Reducing hospital readmissions prevents unnecessary use of healthcare resources, lowers costs, and improves patient outcomes. Effective discharge planning, patient education, and follow-up care are strategies that support cost-effective care.

C. "Planning a 10-year budget will ensure cost-effective care.": Long-term budgeting aids financial planning but does not directly guarantee cost-effective care. Cost-effectiveness is achieved by evaluating interventions, resource utilization, and outcomes continuously.

D. "Hiring travel nurses is an effective method of cost containment.": Travel nurses typically have higher hourly rates than permanent staff, which can increase costs. While they provide staffing flexibility, this strategy is not considered cost-effective for routine staffing needs.

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A nurse is performing a head-to-toe assessment on a newborn. Which of the following actions should the nurse take to prevent heat loss through conduction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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