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

Nursing Test Bank

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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. Position the head of the patient’s bed flat. B. Provide the patient with humidified air. C. Clean the patient’s sutures every 8 hours. D. Suction the patient’s mouth on the side of the surgery.

Correct Answer is B

Explanation

Choice A rationale

Positioning the head of the patient’s bed flat is not typically recommended after a laryngectomy. Instead, the head of the bed is often elevated to help reduce swelling and improve breathing.

Choice B rationale

Providing the patient with humidified air can help keep the airway moist and reduce discomfort, making it a common practice after a laryngectomy.

Choice C rationale

While keeping the surgical site clean is important, cleaning the patient’s sutures every 8 hours is not a standard recommendation and may vary based on the surgeon’s instructions.

Choice D rationale

Suctioning the patient’s mouth on the side of the surgery is not typically recommended as it could potentially disrupt the surgical site.

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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 has just undergone a laryngectomy. What action should the nurse take in this situation?

Correct Answer is B

Explanation

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