A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?
temperature instability
increased urinary output
wakefulness
interest in feeding
The Correct Answer is A
A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.
Correct Answer is ["B","C","D"]
Explanation
A. Increased physical growth is not directly related to the prevalence of adolescent injuries.
B. Peer pressure can influence adolescents to engage in risky behaviors, leading to an increased risk of injuries.
C. Insufficient psychomotor coordination, particularly during periods of rapid growth, can contribute to the risk of injuries in adolescents.
D. Inexperience, particularly in activities such as driving or sports, can increase the risk of injuries among adolescents.
E. Lack of impulsivity is not typically associated with an increased risk of adolescent injuries.
F. Tiredness and lack of energy may affect overall well-being but are not specifically related to the prevalence of adolescent injuries.
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