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.

Answer and Explanation

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

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Step 1 is: Identify the prescribed dose, which is 0.3 mg.

Step 2 is: Identify the available amount, which is 0.1 mg per tablet.

Step 3 is: Divide the prescribed dose by the available amount to find the number of tablets. So,

0.3 mg ÷ 0.1 mg/tablet equals 3 tablets. Therefore, the nurse should administer 3 tablets per dose.

A. I will call the doctor and get a prescription. B. I will cover the catheter so he can’t see it. C. Let’s wait until tonight to see if he continues this behavior. D. I will apply the restraints immediately.

Correct Answer is B

Explanation

Choice A rationale

While it is within the nurse’s scope of practice to communicate with the doctor regarding the patient’s condition, applying restraints should not be the first course of action when a patient frequently tries to remove their IV catheter. Restraints should only be used as a last resort when all other interventions have failed and the patient’s safety is at risk.

Choice B rationale

This is the correct response. Covering the catheter so the patient can’t see it may help to reduce the patient’s urge to remove it. This is a non-invasive intervention that respects the patient’s autonomy while also ensuring their safety.

Choice C rationale

Waiting until nighttime to see if the patient continues the behavior may not be the best course of action. If the patient is frequently trying to remove their IV catheter, it is important to address the issue promptly to prevent potential harm.

Choice D rationale

Applying restraints immediately is not the best course of action. Restraints should only be used as a last resort when all other interventions have failed and the patient’s safety is at risk.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose?

Correct Answer is ["3"]

Explanation

A nurse is caring for a patient who frequently tries to remove his IV catheter. A family member asks the nurse to apply restraints.What should the nurse’s response be?

Correct Answer is B

Explanation

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