A nurse is working on a facility's postpartum unit. For which of the following situations should the nurse initiate a security alert?
An employee is using a basinet to move a newborn from the nursery to the mother's room.
An individual is wearing an identification badge without a photograph.
A parent requests that an individual who plans to perform tests on their newborn be identified.
A newborn in a client's room is missing one of its identification bands.
The Correct Answer is D
A. An employee is using a bassinet to move a newborn from the nursery to the mother's room: Transporting a newborn in a bassinet within the unit is standard practice and does not indicate a security breach. Employees are trained to move infants safely between nursery and mother’s room as part of routine care.
B. An individual is wearing an identification badge without a photograph: While a photo badge is important for verifying identity, encountering someone without a photo badge does not immediately indicate a security threat. The nurse should verify the individual’s credentials, but it does not warrant activating a facility-wide security alert.
C. A parent requests that an individual who plans to perform tests on their newborn be identified: This situation involves parental verification of personnel, which is part of routine patient rights and safety practices. It does not represent a security breach requiring an alert, but staff should provide appropriate identification and explanations.
D. A newborn in a client's room is missing one of its identification bands: Missing identification bands on a newborn is a serious safety concern and indicates a potential risk for misidentification or abduction. This situation requires immediate initiation of a security alert according to hospital policy to protect the infant and notify appropriate security personnel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Wearing sterile gloves when collecting a urine specimen from an indwelling urinary catheter: Sterile gloves are not required for routine urine specimen collection from an indwelling catheter unless the procedure involves breaking the closed system for insertion or manipulation. Using sterile gloves unnecessarily increases supply costs without improving safety.
B. Donning an N95 mask before caring for a client who is on contact precautions: Contact precautions require gloves and a gown, not an N95 respirator. Using an N95 inappropriately consumes a more expensive resource without providing additional protection, which is not cost-effective. Appropriate PPE selection should be based on transmission precautions.
C. Returning unopened supplies to the storage room: Returning unopened supplies for future use prevents unnecessary waste and reduces institutional costs. Supplies that remain sterile and intact can be reused for other clients, demonstrating effective resource management while maintaining safety standards.
D. Replacing a continuous feeding administration set every 8 hr: Standard guidelines recommend replacing continuous enteral feeding sets every 24 hours to prevent infection, unless otherwise indicated. Replacing them every 8 hours unnecessarily increases supply use and cost without additional safety benefit, making it a less cost-effective practice.
Correct Answer is A
Explanation
A. Methadone: Methadone is a long-acting opioid agonist commonly used in the management of neonatal abstinence syndrome resulting from in utero opioid exposure. It stabilizes withdrawal symptoms by binding to mu-opioid receptors and preventing the abrupt cessation effects that occur after birth. Its longer half-life allows for controlled tapering, reducing autonomic instability, irritability, tremors, and feeding difficulties.
B. Meperidine: Meperidine is a short-acting opioid analgesic primarily used for acute pain management and is not recommended for withdrawal treatment. Its metabolite, normeperidine, can accumulate and cause neurotoxicity, including seizures, especially in neonates with immature hepatic and renal function.
C. Hydromorphone: Hydromorphone is a potent opioid analgesic used for severe pain but lacks the pharmacokinetic profile required for structured withdrawal therapy. Its shorter duration of action increases the risk of fluctuating serum levels, which may worsen withdrawal instability. It is not part of standard neonatal abstinence syndrome treatment protocols.
D. Fentanyl: Fentanyl is a highly potent, short-acting synthetic opioid typically used for anesthesia and severe acute pain. Due to its rapid onset and short duration, it does not provide the steady opioid receptor stimulation required to gradually taper withdrawal symptoms in neonates. Its potency also increases the risk of respiratory depression in this population.
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