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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Correct Answer is D

Explanation

Choice A rationale

Constipation is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice B rationale

Weight gain of 5 lb in 1 month could be a side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice C rationale

Insomnia is a potential side effect of aripiprazole, but it is not typically a serious concern that would require notifying the provider.

Choice D rationale

Muscle stiffness could be a sign of a serious side effect of aripiprazole known as extrapyramidal symptoms. This could include conditions such as dystonia, akathisia, and Parkinsonism. If a patient experiences muscle stiffness while taking aripiprazole, the healthcare provider should be notified.

A. Serve foods that have a hot/cold balance. B. Remove tea and coffee from meal trays. C. Serve milk products separately from meals. D. Request a meal tray without pork.

Correct Answer is D

Explanation

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

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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 assessing a patient who has schizophrenia and is taking aripiprazole. The nurse should notify the provider of which of the following findings?

Correct Answer is D

Explanation

A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is reviewing the health history of a patient with angina pectoris who has a prescription for propranolol hydrochloride PO 40 mg twice daily.Which historical finding should the nurse report to the provider?

A nurse is explaining the early stage of the dying process to a patient’s family. A family member mentions, “My parent seems really confused at times.”. What is the most appropriate response from the nurse?

A patient with a history of migraines is at the clinic complaining of a throbbing headache. Which of the followingQuestions should the nurse include in the assessment?

A nurse is planning to shift a patient who can only partially assist in bed. Which technique should the nurse consider using?

A nurse is providing health promotion education to the parents of a toddler.Which information should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a patient who wants to know how albuterol aids his breathing. What should the nurse’s response be? (Select all that apply)

A nurse is caring for a patient receiving epidural analgesia for pain during labor. Which of the following observations should be the nurse’s priority?

A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?