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A nurse on the labor and delivery unit is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?

Assign an Apgar score to the newborn.

Dry the newborn.

Weigh the newborn.

Place an identification bracelet on the newborn.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.

Choice B rationale:

Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.

Choice C rationale:

Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.

Choice D rationale:

Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.

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Correct Answer is C

Explanation

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

A. Increased serum amylase B. Increased C-reactive protein C. Decreased serum lipase D. Decreased platelets

Correct Answer is C

Explanation

Choice A rationale:

Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.

Choice B rationale:

Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.

Choice C rationale:

Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.

Choice D rationale:

Decreased platelets would not specifically indicate improvement in acute pancreatitis.

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A nurse on the labor and delivery unit is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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