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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Providing a low-protein diet is not indicated for managing sickle-cell disease or vasoocclusive crisis. In fact, adequate protein intake is important for tissue repair and healing.
B. Applying cold compresses to painful areas may exacerbate vaso-occlusive crisis by causing vasoconstriction, which can further impede blood flow to affected tissues.
C. Performing passive range-of-motion exercises helps prevent complications associated with immobility during a vaso-occlusive crisis, such as muscle atrophy and joint contractures, and promotes circulation and pain relief.
D. Limiting fluid intake during the evening is not typically recommended for individuals with sickle-cell disease, as adequate hydration is essential for preventing dehydration and maintaining circulation, especially during a vaso-occlusive crisis.

A. Massage areas around the edge of the client's cast with lotion. B. Elevating the extremity when the client is resting in bed. C. Give the client a dull object to scratch the skin under the cast. D. Tell the client to expect numbness in their toes.

Correct Answer is B

Explanation

A. Massaging around the edge of the cast with lotion can lead to skin breakdown and should be avoided.
B. Elevating the extremity helps reduce swelling, promotes venous return, and decreases the risk of complications such as compartment syndrome.
C. Instructing the client to insert objects under the cast is unsafe and can cause skin injury or infection.
D. Numbness in the toes is not expected; it can indicate impaired circulation or nerve damage and should be reported immediately.

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A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a client who has a cast on their left lower leg. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The nurse is preparing the client for discharge. Exhibits For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

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