A nurse is caring for a new mother who is worried about her newborn’s crossed eyes. What is a therapeutic response from the nurse?
I will inform your primary care provider about your concerns.
This happens because newborns lack muscle control to regulate eye movement.
I will take your baby to the nursery for further examination.
This is a concern, but strabismus can be easily treated with patching.
The Correct Answer is B
Choice A rationale
While it’s important to communicate any concerns to the primary care provider, this response does not provide immediate reassurance or information to the mother about her newborn’s crossed eyes.
Choice B rationale
This is the most therapeutic response. It provides factual information that can reassure the mother. Newborns often lack the muscle control to regulate eye movement, which can result in temporary crossing of the eyes.
Choice C rationale
Taking the baby to the nursery for further examination may cause unnecessary worry for the mother. It’s better to provide reassurance and education first.
Choice D rationale
This response may cause unnecessary worry for the mother. Strabismus, or constant misalignment of the eyes, is not typically seen in newborns and would require treatment. However, temporary crossing of the eyes due to lack of muscle control is normal. Propranolol Propranolol Explore
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Smoking, Diabetes, Atherosclerosis, and Weak pedal pulses.
Factors that contribute to poor circulation to the limb include:
- Smoking: It can cause constriction and damage to the blood vessels, leading to poor circulation.
- Diabetes: High blood sugar levels can damage blood vessels and nerves, leading to poor circulation.
- Atherosclerosis: This is a condition where plaque builds up in the arteries, narrowing them and reducing blood flow.
- Weak pedal pulses: This can be a sign of reduced blood flow to the lower extremities. A sodium-restricted diet (Choice B) is not typically associated with poor circulation.
Correct Answer is A
Explanation
Choice A rationale
A water heater temperature of 54.4°C (130°F) is a safety risk because it can cause burns. Older adults have thinner skin and are more susceptible to burns.
Choice B rationale
Electric cords behind furniture can be a safety risk because they can cause tripping or fire if the cords are damaged.
Choice C rationale
Throw rugs are a safety risk because they can slide underfoot and cause falls, especially in older adults who may have balance issues.
Choice D rationale
Raised toilet seats are not a safety risk. In fact, they are often recommended for older adults to prevent falls in the bathroom.
Choice E rationale
A bathtub with rails is not a safety risk. Rails can provide support and prevent falls when the older adult is entering or exiting the bathtub.
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