A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?
"You should verify the identity of anyone who wants to remove your baby from the room."
"You can leave your baby in your room while you walk in the hallway."
"Your baby should have one identification band on either their right arm or right leg."
"You can leave the unit with your baby as long as you notify the nurse."
The Correct Answer is A
The nurse should include the instruction to "verify the identity of anyone who wants to remove your baby from the room" in the teaching about security procedures. It is important for parents to be vigilant and ensure that only authorized personnel have access to their baby.
Option b is incorrect because it may not be safe for the parent to leave their baby unattended in their room while they walk in the hallway.
Option c is incorrect because newborns typically have two identification bands, one on their arm and one on their leg.
Option d is incorrect because parents should not leave the unit with their baby without proper authorization and discharge procedures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: C. Change the perineal pad with each void.
Rationale:
A) Cleanse the perineal area from back to front: Cleansing from back to front is not recommended as it increases the risk of introducing bacteria from the anal area to the perineal wound, potentially leading to infection. The correct technique is front-to-back cleansing to prevent contamination.
B) Wash the perineal area with povidone-iodine twice daily: Povidone-iodine is not typically recommended for regular perineal care postpartum, as it can disrupt normal flora and potentially irritate the healing tissues. Using warm water and mild soap is safer for cleansing the area.
C) Change the perineal pad with each void: Changing the perineal pad with each void helps maintain cleanliness and reduces moisture in the perineal area, decreasing the risk of infection and promoting comfort during the healing process of an episiotomy.
D) Wipe the perineal area with a soft cloth: Wiping the area can disrupt the stitches and may cause discomfort. Instead, clients are usually advised to gently pat dry or use a squirt bottle to cleanse, which reduces pressure on the healing tissue.
Correct Answer is B
Explanation
A nurse collecting data from a client who has hepatitis A should expect to find that the client may have abdominal pain. Hepatitis A is a liver infection that can cause inflammation and discomfort in the abdomen.
The other options are not typical symptoms of hepatitis
a)Splenomegaly is an enlargement of the spleen and is not a typical symptom of hepatitis A.
c) An irregular heart rateis not a typical symptom of hepatitis A.
d) Tarry stools may indicate bleeding in the digestive tract and is not a typical symptom of hepatitis A.
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