The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it.

The most appropriate nursing action would be to:

Apply gentle pressure to stop bleeding

Change his diaper more frequently

Document this as a normal finding

Notify his physician

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Document this as a normal finding. According to the American Academy of Family Physicians, bleeding from the dorsal slit after circumcision using a Gomco clamp is usually minimal and will stop once the clamp is in place.

Therefore, a small amount of blood on the diaper 12 hours after the procedure is not a cause for concern and does not require any intervention.

Choice A is wrong because applying gentle pressure to stop bleeding is not necessary and may cause more trauma to the wound.

Choice B is wrong because changing the diaper more frequently may also disturb the healing process and increase the risk of infection. Choice D is wrong because notifying the physician is not indicated unless there is excessive or persistent bleeding, signs of infection, or other complications.

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Correct Answer is A

Explanation

The correct answer is choice A. Hypersensitivity.Erythromycin eye ointment is an antibiotic that can cause allergic reactions in some newborns, such as irritation, redness, swelling, or cloudy eyes.

This is a potential adverse reaction to this medication that the nurse should monitor for.

Choice B. Glaucoma is wrong because glaucoma is a condition that causes increased pressure in the eye and can damage the optic nerve.

It is not caused by erythromycin eye ointment.

Choice C. Cataracts is wrong because cataracts are a condition that causes clouding of the lens of the eye and can impair vision.

It is not caused by erythromycin eye ointment.

Choice D. Strabismus is wrong because strabismus is a condition that causes misalignment of the eyes and can affect depth perception.

It is not caused by erythromycin eye ointment.

Erythromycin eye ointment is used to prevent ophthalmia neonatorum, which is an infection of the eye surface that affects newborns within the first month of life.It can be caused by bacteria such as chlamydia or gonorrhea that can enter the baby’s eyes during childbirth and cause permanent damage to the corneas.Erythromycin eye ointment can help prevent vision loss caused by these bacteria.

A. Unprotected sexual contact B. Sharing drugs, needles, or “works” when using drugs C. Poor infection control practices in medical settings D. Sharing of blood sugar (diabetes) testing equipment E. Needle sticks or sharps exposures on the job

Correct Answer is ["A","B","C","D","E"]

Explanation

The correct answer is choice A, B, C, D and E.All of these are possible modes of transmission for hepatitis B virus (HBV), which is a viral infection that attacks the liver and can cause both acute and chronic disease.The virus is most commonly transmitted from mother to child during birth and delivery, as well as through contact with blood or other body fluids during sex with an infected partner, unsafe injections or exposures to sharp instruments.

Choice A is correct because unprotected sexual contact can expose a person to the blood, semen, or vaginal fluids of an infected partner.

Choice B is correct because sharing drugs, needles, or “works” when using drugs can expose a person to the blood of an infected person.

Choice C is correct because poor infection control practices in medical settings can expose a person to contaminated needles or syringes or sharp objects that have been used on an infected person.

Choice D is correct because sharing of blood sugar (diabetes) testing equipment can expose a person to the blood of an infected person.

Choice E is correct because needle sticks or sharps exposures on the job can expose a person to the blood of an infected

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The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it. The most appropriate nursing action would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who has received erythromycin eye ointment as prophylaxis for ophthalmia neonatorum. What should the nurse monitor for as a potential adverse reaction to this medication?

Correct Answer is A

Explanation

A nurse is educating a group of college students about hepatitis B virus (HBV) transmission and prevention. The nurse should emphasize that the most common modes of transmission are which of the following? (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is administering erythromycin eye ointment to a newborn who has a history of allergic reaction to penicillin. What should the nurse do before applying the ointment?

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A nurse is reviewing laboratory results for a newborn who received vitamin K injection at birth. Which of the following coagulation factors should be activated by vitamin K?

A nurse is preparing to administer hepatitis B vaccine to a newborn whose mother is hepatitis B surface antigen negative (HBsAg-). Which of the following actions should the nurse take?

The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it. The most appropriate nursing action would be to:

A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus. Which of the following statements by the mother indicates an understanding of the teaching?

A nurse is caring for a client who has chronic hepatitis B infection and is taking lamivudine (Epivir). The nurse should monitor the client for which of the following adverse effects?

A nurse is caring for a preterm newborn who has hypoglycemia due to inadequate gluconeogenesis. The nurse should understand that this condition occurs because preterm newborns have limited stores of which of the following substances?

The nurse is caring for a newborn who was circumcised using a Gomco clamp 12 hours ago and notes that there is a small amount of blood on his diaper where his penis rests against it.

The most appropriate nursing action would be to: