A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

"I will notify my provider if my baby sleeps more than 10 hours per day."

"I will place my baby on his back for sleeping."

"I will change my baby's diaper every 4 hours."

"I will limit my baby's feedings so he does not become overweight."

Answer and Explanation

The Correct Answer is B

Choice A Reason:

"I will notify my provider if my baby sleeps more than 10 hours per day." This statement is not in line with normal newborn sleep patterns. Newborns typically sleep for longer durations and wake up for feedings. It's essential for parents to follow their provider's guidance on feeding and sleep schedules.

Choice B Reason:

"I will place my baby on his back for sleeping." This statement indicates an understanding of safe sleep practices for newborns. Placing a baby on their back for sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS).

Choice C Reason:

"I will change my baby's diaper every 4 hours." While it's important to change a baby's diaper regularly, the frequency of diaper changes may vary depending on the baby's needs. Diapers should be changed when wet or soiled, not necessarily on a strict time schedule.

Choice D Reason:

"I will limit my baby's feedings so he does not become overweight." It is not advisable to limit a newborn's feedings for concerns about becoming overweight. Newborns need to feed frequently to meet their nutritional needs and support healthy growth and development. Parents should follow their healthcare provider's guidance on feeding and monitor the baby's growth and weight appropriately.

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Correct Answer is B

Explanation

Choice A Reason:

Removing personal protective equipment (PPE) after leaving the client's room is correct, but it should be done in a way that minimizes the risk of contamination. Proper doffing of PPE is essential to prevent self-contamination.

Choice B Reason:

Wear a gown when assisting the client with personal hygiene. When caring for a client with methicillin-resistant Staphylococcus aureus (MRSA) in a long-term care facility, wearing a gown when assisting the client with personal hygiene is an important infection control measure. MRSA can be transmitted through direct contact with contaminated surfaces or skin, so wearing a gown can help prevent the spread of the bacteria from the client to the healthcare provider's clothing.

Choice C Reason:

Ensuring that negative air pressure is active for the client's room is not typically necessary for MRSA precautions. Negative air pressure rooms are often used for clients with airborne infectious diseases, such as tuberculosis.

Choice D Reason:

Restricting the client's visitors may be necessary in some cases, especially if there is a concern about the potential spread of MRSA to vulnerable individuals. However, visitor restrictions should be implemented based on the facility's policies and guidelines, and they should be communicated clearly to visitors and family members.

A. Urinary retention B. Constipation C. Difficulty swallowing D. Clenched teeth

Correct Answer is D

Explanation

Choice A Reason:

Urinary retention can be a side effect of opioids used in PCA, but it is not a direct indicator of unrelieved pain.

Choice B Reason:

Constipation is a potential side effect of opioid medications, but it does not directly indicate unrelieved pain.

Choice C Reason:

Difficulty swallowing is not a typical indicator of unrelieved pain but may be related to other factors such as postoperative effects or medication side effects.

Choice D Reason:

Clenched teeth can be an indicator of unrelieved pain in a client receiving patient-controlled analgesia (PCA). It suggests that the client is experiencing discomfort and may be trying to endure the pain rather than using the PCA pump to self-administer pain relief. Clients who are in pain may clench their teeth as a response to pain or discomfort.

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A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is receiving a PCA pump following a hysterectomy. Which of the following findings should the nurse identify as an indicator of unrelieved pain?

Correct Answer is D

Explanation

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