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 A
Explanation
Choice A rationale
Veracity refers to the ethical principle of truthfulness and honesty. Reinforcing information on the potential adverse effects of a medication with the client demonstrates veracity, as it involves providing accurate and complete information to ensure the client's informed decision-making and understanding of their treatment.
Choice B rationale
Encouraging the client to attend a daily exercise program on the unit reflects the principle of beneficence, which is about promoting the client's well-being and acting in their best interests. While it is an important aspect of care, it does not directly demonstrate veracity.
Choice C rationale
Respecting the client's right to refuse to attend a group therapy session aligns with the ethical principle of autonomy, which emphasizes the client's right to make decisions about their own care. It supports the client's independence but is not an example of veracity.
Choice D rationale
Maintaining the client's confidentiality about a substance use disorder adheres to the principle of confidentiality, which involves protecting the client's private information. It ensures the client's privacy but does not specifically address veracity, which is focused on truthfulness in communication. .
Correct Answer is C
Explanation
Choice A rationale
Lanugo, fine hair growth on the skin, is more commonly associated with anorexia nervosa rather than bulimia nervosa. It develops as the body's response to severe weight loss and malnutrition in anorexia, and is not a typical finding in bulimia nervosa, which involves binge eating and purging behaviors.
Choice B rationale
Muscle wasting is more characteristic of anorexia nervosa due to prolonged starvation and insufficient protein intake. While bulimia nervosa can lead to nutritional deficiencies, muscle wasting is less common compared to the profound weight loss seen in anorexia nervosa.
Choice C rationale
Hypokalemia, low potassium levels, is a common finding in bulimia nervosa due to repeated episodes of vomiting and use of laxatives or diuretics. These behaviors lead to significant electrolyte imbalances, including potassium loss, which can cause serious cardiac and muscular complications.
Choice D rationale
Hypomagnesemia, low magnesium levels, can occur in individuals with bulimia nervosa due to poor dietary intake and frequent purging. However, it is less commonly recognized as a primary finding compared to hypokalemia. Monitoring and correcting electrolyte imbalances are essential in the management of bulimia nervosa.
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