A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse, "This baby constantly cries.
My partner works all the time, and I can't take any more.”. Which of the following responses is the nurse's priority?
Have you discussed this with your partner.
Do you have a friend who could help you.
Tell me about your baby.
Have you tried any soothing techniques for your baby.
The Correct Answer is C
Choice A rationale
Asking about discussing the situation with the partner does not immediately address the priority concern of the baby’s current state.
Choice B rationale
Asking about a friend’s help does not directly address the urgency of the infant's welfare.
Choice C rationale
Asking about the baby’s current condition immediately assesses safety and well-being, which is the nurse’s priority.
Choice D rationale
Inquiring about soothing techniques is not the primary focus in assessing the immediate safety and state of the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Drinking alcohol before bed can disrupt sleep patterns and reduce overall sleep quality. While alcohol may initially induce drowsiness, it can lead to fragmented sleep, causing more awakenings during the night.
Choice B rationale
Eating a meal just before bedtime can cause discomfort and interfere with the ability to fall asleep. The body's digestion process can disrupt the onset of sleep and reduce sleep quality.
Choice C rationale
Taking a nap after lunch can interfere with the body's natural sleep-wake cycle, making it more difficult to fall asleep at night. Napping late in the day can reduce the need for sleep at bedtime.
Choice D rationale
Limiting caffeine intake to two beverages per day can promote better sleep. Caffeine is a stimulant that can interfere with the ability to fall asleep and stay asleep. Reducing caffeine consumption, especially in the afternoon and evening, can improve sleep quality.
Correct Answer is A
Explanation
Choice A rationale
A fluctuating level of orientation is a hallmark sign of delirium. Delirium is characterized by an acute and fluctuating course of altered mental status, including changes in attention, awareness, and cognition.
Choice B rationale
A consistent state of depression is not indicative of delirium. While depression can affect mental status, it does not typically present with the acute, fluctuating changes seen in delirium.
Choice C rationale
Demonstrating obsessive behaviors is more characteristic of obsessive-compulsive disorder and does not typically indicate delirium.
Choice D rationale
Short-term memory loss can be a feature of many conditions, including dementia, but does not specifically indicate delirium, which is distinguished by its rapid onset and fluctuating nature. .
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