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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing the crib in front of the window can pose a risk of injury if the infant gains access to the window blinds or falls out of the window.
B. Hanging toys across the crib rails can pose a risk of strangulation or choking if the infant becomes entangled in them.
C. Keeping the door to the bathroom closed prevents the infant from accessing potentially hazardous items such as medications, cleaning products, or small objects that may pose a choking hazard.
D. Setting the hot water heater at 140 degrees Fahrenheit increases the risk of scald burns for the infant. The water temperature should be set at or below 120 degrees Fahrenheit to prevent burns.
Correct Answer is A
Explanation
A. Correct. An oil-based lubricant is used to facilitate the insertion of the nasogastric tube through the nasal passages into the stomach.
B. Incorrect. An enteric feeding pump is not necessary for nasogastric tube insertion for gastric decompression. It is used for enteral feeding, not tube insertion.
C. Incorrect. While sterile gloves are important for maintaining aseptic technique during the procedure, they are not specific to nasogastric tube insertion and decompression.
D. Incorrect. pH strips are used to measure the acidity or alkalinity of a substance and are not typically needed for nasogastric tube insertion for gastric decompression.
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