A newborn has been diagnosed with spina bifida. Which allergy documentation should the nurse include in a plan of care for this child?

penicillin

cloth tape

latex

Augmentin

Answer and Explanation

The Correct Answer is C

Rationale:
A. While penicillin allergy is common, it is not specifically associated with spina bifida.
B. Cloth tape may cause skin irritation, but there is no known link to spina bifida.
C. Children with spina bifida have a significantly increased risk of latex allergy due to frequent exposure during medical procedures and surgeries early in life. Latex precautions should be implemented from birth.
D. Augmentin (amoxicillin-clavulanate) is not specifically related to spina bifida or its care.

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Correct Answer is C

Explanation

Rationale:
A. A metabolic screening test does not assess the metabolic rate.
B. Emotional or psychological disorders are not detected through newborn metabolic screening.
C. Newborn metabolic screening is a vital test that checks for numerous rare, but serious inherited metabolic and genetic disorders, such as phenylketonuria (PKU), congenital hypothyroidism, galactosemia, and others. Early detection allows for prompt treatment to prevent severe complications like intellectual disability, organ damage, or death.
D. While infections can affect development, they are not the primary focus of the newborn metabolic screening test.

A. Wash skin with mild soap and water twice a day. B. Use astringents and vigorous scrubbing. C. Avoid picking or squeezing the lesions. D. Apply tretinoin (Retin-A) liberally. E. Avoid sun exposure if on tetracycline.

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

Explanation

Rationale:
A. Washing the skin gently twice a day helps remove excess oil and dirt without irritating the skin.
B. Vigorous scrubbing and harsh astringents can irritate the skin and worsen acne.
C. Picking or squeezing acne lesions can lead to scarring and infection and should be avoided.
D. Tretinoin should be applied sparingly as it can cause irritation; liberal application increases the risk of skin dryness and redness.
E. Tetracycline antibiotics increase sensitivity to sunlight, so sun avoidance and use of sunscreen are important to prevent burns.

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A newborn has been diagnosed with spina bifida. Which allergy documentation should the nurse include in a plan of care for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse correctly explains to the parents of a newborn that a metabolic screening test:

Correct Answer is C

Explanation

The nurse is teaching a group of adolescents about care for acne vulgaris. Which interventions will the nurse include in the teaching session? Select all that apply.

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

Explanation

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