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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Increase your potassium intake.: Incorrect. While potassium can be beneficial for managing fluid balance, it is not specifically targeted to alleviate symptoms of fibrocystic breast changes.

B. Increase your fluid intake to 3 liters per day.: Incorrect. Although adequate hydration is important, increasing fluid intake is not directly related to managing fibrocystic breast discomfort.

C. Refrain from consuming alcohol.: Correct. Alcohol consumption can exacerbate breast discomfort associated with fibrocystic changes. Reducing or avoiding alcohol can help alleviate symptoms.

D. Limit your daily intake of fiber.: Incorrect. Increasing fiber intake is generally recommended for overall health but is not specifically relevant for managing fibrocystic breast changes.

A. Heart disease B. Cervical dilation of 2 cm C. Gestational age of 34 weeks D. Allergy to penicillin

Correct Answer is A

Explanation

A. Heart disease: Correct. Terbutaline, a tocolytic, is contraindicated in clients with heart disease due to its potential to cause tachycardia and other cardiovascular effects.

B. Cervical dilation of 2 cm: Incorrect. Cervical dilation of 2 cm is not a contraindication for terbutaline. It is relevant for evaluating the progression of labor but not for the use of this medication.

C. Gestational age of 34 weeks: Incorrect. Terbutaline can be used to manage preterm labor before 34 weeks, so this gestational age does not contraindicate its use.

D. Allergy to penicillin: Incorrect. Terbutaline is not related to penicillin, so an allergy to penicillin is not a contraindication for using terbutaline.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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