A woman gives birth to a 28 week infant. The infant is scheduled to receive caffeine citrate after birth. The mother asks, "Why are you giving my baby stuff that is in coffee?' What is the nurses best response?
"It will help your baby gain weight faster."
"Caffeine can help your baby breathe better."
"This isn't the same substance that is in coffee."
"The baby's temperature will be warmer with caffeine."
The Correct Answer is B
A. "It will help your baby gain weight faster."
This statement is not accurate. Caffeine citrate is not given to help with weight gain; its primary use is to stimulate the respiratory center in preterm infants and improve breathing.
B. "Caffeine can help your baby breathe better."
This is the correct response. Caffeine citrate is commonly used in premature infants to stimulate the respiratory center, leading to improved breathing. It is a standard treatment to reduce the risk of apnea of prematurity.
C. "This isn't the same substance that is in coffee."
While caffeine citrate is derived from caffeine, this statement might be confusing and does not directly address the specific benefits of caffeine citrate for preterm infants.
D. "The baby's temperature will be warmer with caffeine."
This statement is not accurate. Caffeine citrate is not used to affect the baby's temperature; its primary effect is on the respiratory system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
To calculate the amount of solution needed for each dose, we need to use the formula:
Amount of solution (mL) = Dose (mg) / Concentration (mg/mL)
Plugging in the given values, we get:
Amount of solution (mL) = 50 mg / 20 mg/mL
Simplifying, we get:
Amount of solution (mL) = 2.5 mL
Therefore, the nurse must administer 2.5 mL of the solution for each dose.
Correct Answer is D
Explanation
A. Administer the dose since the patient is not toxic.
This is not the appropriate action. With a drowsy patient and a high serum phenytoin level, there is a concern for toxicity. Administering the next dose could worsen the toxicity.
B. Contact the provider to discuss decreasing the phenytoin dose.
While adjusting the dose may be a consideration, the immediate action should be to withhold the next dose and report the elevated level to the healthcare provider. The provider can then determine the appropriate course of action.
C. Give the drug and monitor closely for adverse effects.
Giving the drug without further intervention is not appropriate when there are signs of potential toxicity, such as drowsiness. Monitoring alone is not sufficient in this case.
D. Report drug toxicity to the providers.
This is the correct choice. With a drowsy patient and a serum phenytoin level of 18 mcg/mL, which is considered high, reporting the drug toxicity to the healthcare provider is the immediate and appropriate action. The provider can then determine the next steps, such as adjusting the dose or ordering additional tests.
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