A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Hypotonicity
Moderate tremors of the extremities
Axillary temperature 36.1° C (96.9° F)
Excessive sleeping
The Correct Answer is B
A. Hypotonicity.: Incorrect. Opioid withdrawal in newborns typically presents with hypertonicity (increased muscle tone) rather than hypotonicity.
B. Moderate tremors of the extremities.: Correct. Newborns experiencing opioid withdrawal often exhibit tremors or jitteriness in the extremities as part of the withdrawal symptoms.
C. Axillary temperature 36.1° C (96.9° F).: Incorrect. Opioid withdrawal does not usually cause hypothermia. Newborns with withdrawal may have a normal or slightly elevated temperature.
D. Excessive sleeping.: Incorrect. Excessive sleeping is not a typical symptom of opioid withdrawal; rather, newborns with withdrawal might experience irritability and difficulty sleeping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Current guidelines recommend Pap tests every 3 years for women aged 21-29 and every 5 years when combined with HPV testing for women aged 30-65. Routine Pap tests are generally not required after 65 if prior tests were normal.
B. Incorrect. Pap tests are not necessarily discontinued following the removal of the ovaries; they may still be needed based on the individual's history and risk factors.
C. Correct. Avoiding sexual intercourse for 24 hours before the Pap test helps ensure more accurate results and reduces the risk of irritation.
D. Incorrect. Pap tests are used to detect abnormal cells that may indicate cervical cancer, not to detect viral infections.
Correct Answer is C
Explanation
A. Incorrect. Bradycardia is not typically associated with decreased cardiac output but can indicate other conditions.
B. Incorrect. A flushed face is not a specific indicator of decreased cardiac output.
C. Correct. Hypotension is a sign of decreased cardiac output, which can occur due to excessive vaginal bleeding.
D. Incorrect. Polyuria is not directly related to decreased cardiac output; it may be related to other conditions.
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