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A nurse is caring for a newborn who was born prematurely at 26 weeks. Which of the following interventions should the nurse take to decrease the newborn's risk of increased intracranial pressure?

Elevate the head of the bed 15° to 20°.

Stimulate the newborn every 2 hr.

Place the newborn in a radiant warmer.

Administer hypertonic solution.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Elevating the head of the bed can help prevent intracranial pressure by promoting venous drainage from the head.

Choice B rationale:

Premature newborns need to rest and conserve energy, so excessive stimulation every 2 hours is not recommended.

Choice C rationale:

Placing the newborn in a radiant warmer helps maintain a stable body temperature, but it does not directly address intracranial pressure.

Choice D rationale:

Administering hypertonic solution is not a standard intervention for decreasing intracranial pressure in a premature newborn.

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Correct Answer is A

Explanation

Choice A rationale:

Donepezil is a cholinesterase inhibitor that is commonly prescribed for individuals with Alzheimer's disease. It helps increase the levels of acetylcholine in the brain, which can temporarily improve cognitive function and slow the progression of cognitive decline in some individuals with Alzheimer's disease.

Choice B rationale: Chlordiazepoxide is a benzodiazepine medication used to treat anxiety and alcohol withdrawal symptoms. It is not indicated for the treatment of Alzheimer's disease and is not recommended due to its potential to cause sedation and cognitive impairment.

Choice C rationale: Naltrexone is an opioid receptor antagonist primarily used to treat opioid and alcohol dependence. It is not indicated for the treatment of Alzheimer's disease.

Choice D rationale: Buprenorphine is a partial opioid agonist used to treat opioid dependence and moderate to severe pain. It is not indicated for the treatment of Alzheimer's disease.

A. Determine if the client is experiencing suicidal ideation. B. Identify the client's social support. C. Instruct the client about coping skills. D. Explore the client's perception of the event.

Correct Answer is A

Explanation

Choice A rationale:

Assessing for the client's immediate safety is the first priority in crisis intervention.

Choice B rationale:

Identifying social support is important but not the primary action in this situation.

Choice C rationale:

Instructing the client about coping skills is important, but immediate safety takes precedence.

Choice D rationale:

Exploring the client's perception of the event is valuable, but assessing for suicidality is more urgent.

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A nurse is caring for a newborn who was born prematurely at 26 weeks. Which of the following interventions should the nurse take to decrease the newborn's risk of increased intracranial pressure?

Nursing Test Bank

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