A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

Place the newborn in a radiant warmer.

Monitor the newborn's blood pressure.

Initiate phototherapy.

Obtain blood glucose by heel stick.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Placing the newborn in a radiant warmer is appropriate for managing hypothermia but does not directly address the signs of diaphoresis, jitteriness, and lethargy, which are indicative of hypoglycemia.

Choice B rationale

Monitoring the newborn's blood pressure is not the primary action needed for signs of hypoglycemia. The immediate need is to check blood glucose levels and address any hypoglycemia.

Choice C rationale

Initiating phototherapy is a treatment for hyperbilirubinemia (jaundice) and is not related to the signs of diaphoresis, jitteriness, and lethargy seen in hypoglycemia.

Choice D rationale

Obtaining blood glucose by heel stick is the correct action as the signs of diaphoresis, jitteriness, and lethargy are indicative of hypoglycemia. Checking blood glucose levels will help in diagnosing and managing the condition.

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Correct Answer is D

Explanation

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

A. Anticonvulsants. B. Antihypertensives. C. Antioxidants. D. Antibiotics.

Correct Answer is A

Explanation

Choice A rationale

Anticonvulsants can induce liver enzymes, increasing the metabolism of combined oral contraceptives (COCs) and reducing their effectiveness.

Choice B rationale

Antihypertensives do not have a significant impact on the effectiveness of COCs.

Choice C rationale

Antioxidants do not interfere with the metabolism or effectiveness of COCs.

Choice D rationale

Antibiotics, except for rifampin, typically do not reduce the effectiveness of COCs.

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A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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