A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?

Take the newborn to the nursery before showering,

Position the newborn prone for sleep.

Place the newborn on a strict feeding schedule.

Swaddle the newborn with their legs extended.

Answer and Explanation

The Correct Answer is A

A. Take the newborn to the nursery before showering: Newborns require continuous supervision to prevent falls, choking, or accidental injury. Leaving a newborn unattended, even briefly, is unsafe. Taking the infant to the nursery or ensuring another responsible adult is present while the parent showers promotes safety.

B. Position the newborn prone for sleep: Placing a newborn prone (on the stomach) increases the risk of sudden infant death syndrome (SIDS). Safe sleep guidelines recommend placing infants on their backs in a flat, firm sleep surface to reduce SIDS risk.

C. Place the newborn on a strict feeding schedule: Newborns should be fed on demand, typically every 2–3 hours, based on hunger cues. Strict schedules can lead to inadequate nutrition, dehydration, or failure to thrive, this practice is not recommended for safety or growth.

D. Swaddle the newborn with their legs extended: Proper swaddling involves keeping the hips and legs flexed and slightly abducted to reduce the risk of hip dysplasia. Extending the legs during swaddling can harm hip development and is not considered safe practice.

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Correct Answer is B

Explanation

A. "Your nurse will provide information about the risks and benefits of surgical procedures.": This statement relates to informed consent and patient education rather than confidentiality. While important for care, it does not address the privacy of the client’s medical information.

B. "Only health care staff providing care will see your medical record.": Confidentiality ensures that a client’s personal health information is protected and only accessed by authorized personnel involved in their care. Emphasizing this reassures the client that their information is safeguarded and not shared inappropriately.

C. "The provider must grant you access to your personal health information.": Clients have a legal right to access their own medical records without requiring provider permission, according to HIPAA regulations. Denying access misrepresents patient rights.

D. "You have to authorize our providers to prescribe treatments for your condition.": Authorization to prescribe treatment is part of consent and care planning, not confidentiality. This statement does not inform the client about how their personal health information is protected or shared.

A. 1100 B. 0830 C. 1730 D. 1400

Correct Answer is B

Explanation

A. 1100: This time corresponds approximately to the peak of short-acting insulin (regular insulin), which typically peaks 2–4 hours after administration. Insulin lispro is rapid-acting and peaks much earlier, so 1100 is too late for peak action.

B. 0830: Insulin lispro is a rapid-acting insulin that begins to work within 15 minutes, peaks in about 30–90 minutes, and has a duration of 3–5 hours. Administered at 0730, its peak effect would occur around 0830–0900, aligning with postprandial glucose control.

C. 1730: This time is too late to reflect the peak of insulin lispro administered in the morning. By this time, the rapid-acting insulin would have largely worn off, and the client’s blood glucose would be influenced by basal insulin or other meals.

D. 1400: This corresponds more closely to the peak of intermediate-acting insulin (NPH) administered in the morning, not rapid-acting insulin. Insulin lispro’s short peak period makes 1400 too delayed for its expected maximal effect.

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A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about confidentiality with a client. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who receives insulin lispro each morning at 0730. The nurse should anticipate the client's insulin to peak around which of the following times?

Correct Answer is B

Explanation

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