A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?
Apply a warm pack to the puncture site prior to the procedure.
Apply a mummy restraint to the newborn for the procedure.
Apply antiseptic solution to the puncture site after the procedure.
Elevate the extremity prior to the procedure.
The Correct Answer is A
A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.
B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.
C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.
D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Upper abdominal pain could indicate a variety of issues, including gastrointestinal upset or muscle soreness from labor, but it is not specific to a puerperal infection.
B. Bradycardia (slow heart rate) is not typically associated with a puerperal infection.
C. Hypothermia (low body temperature) is not a typical sign of a puerperal infection.
D. Foul-smelling lochia can be indicative of an infection, as an unpleasant odor may be associated with bacterial growth in the uterine cavity. This is a concerning sign and should be further evaluated.
Correct Answer is C
Explanation
A. TENS provides pain relief but does not eliminate pain completely during contractions.
B. TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C. TENS intensity should be increased during contractions to provide additional pain relief.
D. TENS can be useful throughout labor, not just during the third stage.
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