A nurse is caring for a newborn following delivery.
Which of the following actions should the nurse take first?

Apply prophylactic eye ointment.

Administer vitamin K.

Obtain the newborn's weight.

Apply identification bands to the newborn.

Answer and Explanation

The Correct Answer is D

The ﬁrst action the nurse should take is to apply identiﬁcation bands to the newborn (choice D).

This is an important step in ensuring the safety and security of the newborn and helps to prevent errors such as misidentiﬁcation.

Choices A, B, and C are also important actions that should be taken when caring for a newborn following delivery.

However, applying prophylactic eye ointment (choice A), administering vitamin K (choice B), and obtaining the newborn’s weight (choice C) can be done after the identiﬁcation bands have been applied.

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Correct Answer is C

Explanation

A nurse caring for a client who is at 36 weeks of gestation and has methicillin- resistant Staphylococcus aureus (MRSA) should initiate Contact Precautions.

Choice A is incorrect because Droplet Precautions are not necessary for MRSA.
Choice B is incorrect because a Protective Environment is not necessary for MRSA.
Choice D is incorrect because Airborne Precautions are not necessary for MRSA.

A. Increased muscle weakness. B. Increased fetal movement. C. Increased respiratory rate. D. Increased urinary output. E. Increased urinary output.

Correct Answer is A

Explanation

Magnesium sulfate is used to prevent seizures in women with preeclampsia.
However, taking too much magnesium can be life-threatening to both mother and child.
In women, one of the most common symptoms of magnesium toxicity is muscle weakness12.

Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.

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A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 36 weeks of gestation and has methicillin- resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?

Correct Answer is C

Explanation

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Correct Answer is A

Explanation

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

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A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

A nurse is caring for a newborn following delivery.
Which of the following actions should the nurse take first?