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 D
Explanation
Choice A rationale
Nitroglycerin oral, sustained-release capsules are not typically taken at the onset of anginal pain. They are usually used to prevent angina attacks rather than to treat them.
Choice B rationale
There is no specific requirement to take the medication with meals.
Choice C rationale
While side effects can be troublesome, patients should not stop taking the medication without consulting their healthcare provider.
Choice D rationale
Nitroglycerin oral, sustained-release capsules should be swallowed whole. They should not be crushed or chewed.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Sensation of pressure is a common symptom of urinary retention due to prostatic hypertrophy.
Choice B rationale
Dysuria, or painful urination, can occur due to the enlarged prostate pressing against the urethra.
Choice C rationale
Bladder distension is a result of the bladder becoming overly full due to inability to fully empty the bladder.
Choice D rationale
Tenderness over the symphysis pubis can occur due to the bladder being overly full and distended.
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