A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

A. Administer a short-acting bronchodilator: Diminished breath sounds and use of accessory muscles indicate severe airway obstruction and impending respiratory compromise. Administering a short-acting bronchodilator, such as albuterol, provides rapid relief by relaxing bronchial smooth muscle, improving airflow, and preventing further hypoxemia.

B. Reinforce the importance of using a peak flow meter: While peak flow monitoring is useful for long-term asthma management and early detection of exacerbations, it does not address acute airway obstruction. Education about peak flow is important but not the first action in a potentially life-threatening exacerbation.

C. Encourage the client to take slow, deep breaths: Breathing techniques may support ventilation in mild exacerbations, but they cannot relieve severe bronchospasm or restore adequate airflow in a client with diminished breath sounds. This intervention is secondary to urgent pharmacologic management.

D. Request a prescription for ABGs: Arterial blood gas measurement helps assess oxygenation and acid-base status, but it does not immediately reverse airway obstruction. While ABGs may be indicated for evaluation, the first priority is to administer a bronchodilator to relieve life-threatening bronchospasm.

A. Providing a ham and cheese sandwich to a client who follows a kosher diet: Kosher dietary laws prohibit pork and require specific food preparation. Giving a ham sandwich directly violates the client’s religious dietary restrictions and requires immediate correction and staff education to respect cultural and religious practices.

B. Giving peanut butter to a client who was prescribed a mechanical soft diet: A mechanical soft diet includes foods that are easy to chew and swallow. While crunchy peanut butter would be restricted, smooth peanut butter is typically allowed as it does not require significant mastication.

C. Offering ginger ale to a client who is a member of the Mormon faith: Ginger ale is nonalcoholic and caffeine-free options are usually available. Serving ginger ale is generally consistent with Mormon dietary restrictions, which prohibit alcohol and caffeinated beverages, so this does not require intervention.

D. Serving ice cream to a client who prescribed a full-liquid diet: Ice cream is considered a full-liquid food and is consistent with this diet order. It does not violate dietary guidelines, so no intervention is required.