A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?

Restrict the newborn's ﬂuid intake.

Keep the newborn in a side-lying position.

Cover the newborn's bladder with a sterile, non-adherent dressing.

Exert gentle pressure on the newborn's bladder with sterile gauze.

Answer and Explanation

The Correct Answer is C

A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.

Choice A is incorrect because it is not necessary to restrict the newborn’s ﬂuid intake.

Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.

Choice D is incorrect because it is not appropriate to exert gentle pressure on

the newborn’s bladder with sterile gauze.

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Correct Answer is B

Explanation

It’s normal for blood pressure to fall a little when a client receives an epidural.

If necessary, ﬂuids and medicine can be given through a drip to keep blood pressure normal.

Choice A) is not correct because initiating an amnioinfusion is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

Choice C) is not correct because monitoring the client’s blood pressure every 15 min is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

Choice D) is not correct because administering naloxone to the client is not mentioned as an immediate intervention for low blood pressure after epidural anesthesia .

A. "Eat a high-fat snack before getting out of bed.” B. "Avoid eating snacks before bedtime.” C. "Consume foods served at cool temperatures.” D. "Drink additional liquids with each meal.”

Correct Answer is C

Explanation

A nurse should recommend that a client who is experiencing nausea and vomiting during pregnancy consume foods served at cool temperatures. This is because cool foods may be easier to tolerate than hot foods.

Choice A is not correct because high-fat foods can worsen nausea and vomiting during pregnancy.

Choice B is not correct because eating a snack before bedtime may help prevent nausea and vomiting in the morning.

Choice D is not correct because drinking additional liquids with meals can worsen nausea and vomiting during pregnancy.

Instead, it may be helpful to sip ﬂuids throughout the day.

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A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?

Nursing Test Bank

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A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?