Try Naxlex NCLEX-RN (Free-Trial)

A home health nurse is caring for a newborn.

Exhibits

Click to highlight the findings that require further intervention. To deselect a finding, clock on the finding again.

Answer and Explanation

The Correct Answer is ["<p>Follow-up newborn weight check. <strong>Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well<\/strong>. The newborn is asleep in their bassinet in the living room.<strong> Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.<\/strong><\/p>"]

Nurses’ Notes:

3 weeks old:

Follow-up newborn weight check. Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.

Vital Signs:

3 weeks old:

Temperature: 36.9°C (98.4°F) Heart rate: 138/min Respiratory rate: 42/min

The two findings from the nurse's notes that require further intervention:

Parent Smoking in Presence of Newborn and Newborn Asleep in Prone Position

Parent is smoking a cigarette in the living room while the infant sleeps.: Exposure to secondhand smoke is particularly harmful to infants, as their lungs are still developing. It can lead to severe health problems such as breathing difficulties, bad colds, respiratory issues, and delayed physical and mental development. More critically, it increases the risk of sudden infant death syndrome (SIDS). Therefore, it is imperative to educate the parent about the dangers of smoking around the newborn and to ensure that the infant is kept in a smoke-free environment.

Newborn currently asleep in prone position.: The safest sleeping position for a newborn is on their back, as recommended by the American Academy of Pediatrics (AAP). This position has been shown to reduce the incidence of SIDS. Sleeping in a prone position (on the stomach) can lead to less oxygen and more carbon dioxide re-breathing, which can be dangerous for the infant. The nurse should advise the parent to always place the newborn on their back to sleep, for naps and at night, to minimize the risk of SIDS.

The vital signs provided do not indicate any immediate concerns, as the temperature, heart rate, and respiratory rate are within normal ranges for a 3-week-old infant. However, the environmental factors noted in the nurse's observations are significant and require prompt attention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Therapeutic touch is not primarily known to help with posture. It is more focused on energy fields and relaxation.

Choice B reason: While there are claims that therapeutic touch can influence the immune system, the evidence is not strong enough to definitively state it strengthens the immune system.

Choice C reason: Therapeutic touch is commonly used to promote deep relaxation and reduce stress, which is

supported by some studies.

Choice D reason: There is limited evidence to suggest that therapeutic touch directly increases energy levels.

A. The caregiver is reluctant to learn new client care techniques. B. The caregiver reports joining a support group. C. The caregiver discusses their new interest in knitting. D. The caregiver accepts offers from others to assist with the client's care.

Correct Answer is A

Explanation

Choice A reason: Reluctance to learn new care techniques can be a sign of role strain, as it may indicate feeling overwhelmed or resistant to change.

Choice B reason: Joining a support group is typically a positive step and not indicative of role strain.

Choice C reason: Developing new interests, such as knitting, is usually a healthy coping mechanism and not a sign of role strain.

Choice D reason: Accepting help is a positive action and suggests the caregiver is managing their role effectively, rather than experiencing strain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A home health nurse is caring for a newborn. Exhibits Click to highlight the findings that require further intervention. To deselect a finding, clock on the finding again.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating outcomes for a client who is using alternative and complementary therapies. Which of the following statements should the nurse expect the client to make about therapeutic touch?

Correct Answer is C

Explanation

A home health nurse is visiting a client who has a spinal cord injury. Which of the following findings should indicate to the nurse that the client's caregiver is experiencing role strain?

Correct Answer is A

Explanation

A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

A nurse is caring for a family in the community. Which of the following is an assessment tool the nurse should use to assess the family's relationships with other systems in the community?

A hospice nurse administered furosemide 80 mg PO 1 hour ago to a client who has end-stage heart failure. Which of the following findings is an indication that the furosemide has been effective?

A home health nurse is providing teaching to a client and their family about hospice care. Which of the following information should the nurse include in the teaching?

A community health nurse is planning a series of primary prevention programs. Which of the following programs should the nurse include in the series? (Select all that apply.)

A nurse is developing a program to reduce occurrences of workplace violence. Which of the following should the nurse recognize as the most effective action to prevent workplace violence?

A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates the teaching has been effective?

A home health nurse is discussing how to meet the needs of a diverse client population with a newly licensed nurse. The nurse should include which of the following as an example of a nurse incorporating culturally competent care?

A home health nurse is caring for a newborn.

Exhibits

Click to highlight the findings that require further intervention. To deselect a finding, clock on the finding again.