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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Correct Answer is C

Explanation

Rationale:
A. Ensure each individual can respond defensively about the conflict: Encouraging defensive responses escalates tension and does not promote resolution. The goal is to facilitate understanding and collaboration, not defensiveness.

B. Use passive listening techniques during conflict resolution: Passive listening may miss key information and prevent the manager from fully understanding the concerns. Active and empathetic listening is necessary to address the conflict effectively.

C. Gather individual information regarding the conflict: Collecting perspectives from each person involved helps the nurse manager understand the root causes, identify common themes, and develop an appropriate strategy for resolution. This is a critical step in structured conflict management.

D. Ask closed-ended questions about the conflict: Closed-ended questions limit responses and do not allow individuals to fully express their concerns or feelings. Open-ended questions are more effective for exploring issues in depth.

A. Temperature 37.9° C (100.2° F) B. Sneezing C. Hematuria D. Substernal retractions

Correct Answer is D

Explanation

Rationale:
A. Temperature 37.9° C (100.2° F): A mild temperature elevation is common in sickle cell crises due to inflammation or infection, but it does not independently indicate acute chest syndrome. It should be monitored but does not require immediate reporting unless it progresses or is accompanied by respiratory distress.

B. Sneezing: Sneezing is a nonspecific symptom often related to upper respiratory irritation or allergies. It does not signify acute chest syndrome or lower airway involvement and is not an immediate concern in this context.

C. Hematuria: Blood in the urine can occur from sickling in the renal vasculature but is not related to acute chest syndrome. While it requires evaluation, it does not pose an immediate respiratory threat.

D. Substernal retractions: Substernal retractions indicate increased work of breathing and respiratory distress, which are hallmark signs of acute chest syndrome. This complication involves pulmonary infarction or infection leading to hypoxia, and prompt provider notification is essential to prevent respiratory failure.

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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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