A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

Methadone

Meperidine

Hydromorphone

Fentanyl

Answer and Explanation

The Correct Answer is A

A.   Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B.   Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C.   Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D.   Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

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Correct Answer is A

Explanation

A. Before withdrawing any insulin from the vial, it's essential to ensure that the pressure within the vial is equalized. This is achieved by injecting air into the vial equal to the volume of insulin to be withdrawn. Therefore, the nurse should first inject 20 units of air into the vial of NPH insulin. This prevents the formation of a vacuum inside the vial, making it easier to withdraw the correct dose of insulin.
B. Injecting air into the vial of regular insulin should be the second step after injecting air into the vial of NPH insulin. This ensures that both insulin types are prepared correctly.
C. Withdrawing 20 units of NPH insulin from the vial should occur after injecting air into the vial, not before.
D. Withdrawing 5 units of regular insulin from the vial should occur after injecting air into the vial, not before.

A. "The actual medical record belongs to the client." B. "A client's medical record information remains confidential, even during an emergency." C. "If the client dies, their family receives their medical record." D. "A client has the right to view their medical record."

Correct Answer is B

Explanation

A. Incorrect. While clients have rights to access their medical records, ownership of the actual record typically remains with the healthcare provider or facility.
B. Correct. The HIPAA Privacy Rule mandates that a client's medical information remains confidential and protected, even during emergencies or when disclosed to other healthcare providers for treatment purposes.
C. Incorrect. In most cases, access to a deceased client's medical records is restricted to authorized individuals, such as next of kin or legal representatives, and is subject to privacy laws. D. Incorrect. While clients have the right to view their medical records under HIPAA, this statement does not specifically address the confidentiality aspect of the Privacy Rule.

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A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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