A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?
Lip smacking
Diaphoresis
Hypoglycemia
Transient strabismus
The Correct Answer is B
A. Incorrect. Lip smacking is not typically associated with pain in newborns and may indicate hunger or a self-soothing behavior.
B. Correct. Diaphoresis, or sweating, can be a sign of pain in newborns following circumcision. C. Incorrect. Hypoglycemia refers to low blood glucose levels and is not a direct manifestation of pain.
D. Incorrect. Transient strabismus, or crossed eyes, is not typically associated with pain in newborns and may be a normal variation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B. While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C. Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D. Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.
Correct Answer is C
Explanation
A. The Sims position is lying on the left side with the right knee and thigh drawn up with the left arm placed along the back. This position is typically used for rectal examinations and enemas, not for administering nasal drops.
B. The prone position is lying face down. This position is not suitable for administering nasal drops as it can be uncomfortable and may obstruct proper administration.
C. The supine position is lying flat on the back with the face upward. This position is ideal for administering nasal drops as it allows for easy access to the nostrils and facilitates proper instillation of the medication.
D. The orthopneic position is sitting upright and leaning forward, often with the arms supported on a table or pillows. This position is sometimes used by patients with respiratory distress but is not typically recommended for administering nasal drops.
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