A nurse is assisting with the care of a 1-month-old infant who has neonatal abstinence syndrome and is receiving phenobarbital. Which of the following findings indicates to the nurse that the medication has had a therapeutic effect?
Improved feedings
Restored surfactant
Decreased CNS irritability
Decreased excoriation
The Correct Answer is C
Choice A reason:
Improved feedings can be a positive sign, but it may not directly indicate the therapeutic effect of phenobarbital.
Choice B reason:
Restored surfactant is not directly related to the action of phenobarbital, which is used to manage symptoms of neonatal abstinence syndrome.
Choice C reason:
Phenobarbital is a medication that can help alleviate CNS irritability in infants with neonatal abstinence syndrome. Therefore, a decrease in CNS irritability indicates a therapeutic effect of the medication.
Choice D reason:
Decreased excoriation is not a primary effect of phenobarbital. This medication primarily addresses CNS symptoms associated with neonatal abstinence syndrome.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.
Choice B reason:
Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.
Choice C reason:
Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.
Choice D reason:
Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.
Correct Answer is B
Explanation
Choice A reason:
Administering naloxone is not indicated for a seizure. Naloxone is used to reverse opioid overdose, not treat seizures.
Choice B reason:
Checking inside the child's mouth for bleeding is important after a seizure to ensure there is no injury to the oral cavity.
Choice C reason:
Giving the child a drink of water immediately after a seizure is not a priority intervention. The child may not be able to swallow properly immediately after a seizure.
Choice D reason:
Placing the child's head in a hyperextended position is not a recommended intervention after a seizure. It is important to maintain the child in a safe position and provide appropriate care after the seizure has ended.
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