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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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason:

A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.

Choice B reason:

Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.

Choice C reason:

Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.

Choice D reason:

This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.

A. A 15-month-old child who bites other children while at day care B. A 6-year-old child who has a fracture of the arm from a bicycle injury C. A 4-year-old child who has a history of frequent urinary tract infections D. A 34-month-old child who has several small bruises on the shins

Correct Answer is B

Explanation

Choice A reason:

Biting behavior in a 15-month-old child is developmentally appropriate and not indicative of child maltreatment.

Choice B reason:

Correct. A fracture resulting from a bicycle injury may raise concerns about the child's safety and supervision, and it should be reported for further evaluation.

Choice C reason:

A history of frequent urinary tract infections is a medical concern but does not necessarily indicate child maltreatment.

Choice D reason:

Small bruises on the shins are common in toddlers and are typically the result of normal play and exploration. They are not necessarily indicative of child maltreatment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is diaphoretic, and has a blood glucose reading of 45 mg/dL. Which of the following should the nurse administer?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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