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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Using a bleach-based solution to clean the bedside table is an appropriate measure to prevent the spread of Clostridium difficile bacteria, as bleach is effective in killing spores.
Choice B reason:
While hand sanitizer is useful for killing many types of bacteria and viruses, it may not be as effective against Clostridium difficile spores. Washing hands with soap and water is preferred.
Choice C reason:
Placing the toddler in a negative-airflow room is not necessary for managing Clostridium difficile diarrhea. Standard precautions and proper hygiene are sufficient.
Choice D reason:
Loperamide is not typically recommended for managing Clostridium difficile diarrhea, as it may worsen the condition by slowing down the bowel motility. The primary treatment is discontinuing the antibiotic that caused the infection and, in some cases, using specific antibiotics to target the C. difficile bacteria.
Correct Answer is A
Explanation
Choice A reason:
Frequent urination is a common symptom of urinary tract infections. It helps to flush out bacteria from the urinary tract.
Choice B reason:
Wiping from back to front can introduce bacteria from the anal area to the urethra, increasing the risk of urinary tract infections. The correct technique is to wipe from front to back
Choice C reason:
Nylon underwear can trap moisture, creating an environment conducive to bacterial growth. Cotton underwear is recommended for better air circulation.
Choice D reason:
Testing urine for ketones is not directly related to preventing urinary tract infections. Ketone testing is more relevant for individuals with diabetes to monitor for ketoacidosis.
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