A nurse is assisting a healthcare provider during an infant's circumcision. Which action by the nurse demonstrates the nurse is acting as the infant's client care advocate?
The nurse provides the physician with an iodine solution for cleansing the skin.
The nurse prepares the sterile field and gathers necessary equipment.
The nurse provides sucrose and non-nutritive sucking for the infant during the procedure.
The nurse restrains the baby on the circumcision board.
The Correct Answer is C
A. Providing iodine solution is a standard task, not advocacy.
B. Preparing equipment is part of procedural support, not advocacy.
C. Providing sucrose and non-nutritive sucking has been shown to reduce procedural pain in neonates, demonstrating advocacy for the infant’s comfort.
D. Restraining is necessary but does not directly advocate for comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevated hemoglobin and bilirubin: These findings are more consistent with jaundice or polycythemia, not sepsis.
B. Acrocyanosis and unstable thermoregulation: Acrocyanosis is normal in newborns; thermoregulation issues are concerning but nonspecific for sepsis.
C. Generalized mottling and uncoordinated suck: These may occur in sepsis but are less specific compared to lethargy and pallor.
D. Lethargy and pallor: These are classic signs of neonatal sepsis, a potentially life-threatening condition requiring immediate intervention.
Correct Answer is A
Explanation
A. It is normal for newborns to lose up to 10% of their birth weight in the first few days. This weight loss is primarily due to fluid shifts and will resolve with regular breastfeeding.
B. Weight loss in this range is not excessive and does not require immediate intervention.
C. There is no indication for intensive care based on this weight loss alone.
D. Supplementing with formula is not necessary unless weight loss exceeds 10% or breastfeeding is inadequate.
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