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A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.

Identify the sequence of steps the nurse should follow.

(Move the steps into the box on the right, placing them in the order of performance.

Use all the steps.)

Cleanse the heel with an antiseptic.

Cover the heel with an adhesive bandage.

Puncture the heel and collect the blood.

Apply pressure with a dry gauze pad.

Wrap a warm, moist cloth around the heel.

Answer and Explanation

The Correct Answer is E,A,C,D,B

Wrap a warm, moist cloth around the heel.
Cleanse the heel with an antiseptic.
Puncture the heel and collect the blood.
Apply pressure with a dry gauze pad.
Cover the heel with an adhesive bandage. .

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Correct Answer is C

Explanation

Choice A rationale

Starting each feeding with the same breast can lead to engorgement and decreased milk supply in the other breast.

Choice B rationale

Exclusive breastfeeding is recommended for the first six months. Providing a formula supplement can interfere with milk supply and breastfeeding success.

Choice C rationale

Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.

Choice D rationale

Newborns do not need additional water as breast milk or formula provides all necessary hydration.

A. Encourage the client to wear a bra that is loose fitting. B. Encourage the client to continue to breastfeed. C. Limit the client's daily fluid intake. D. Prepare the client for an abdominal sonogram.

Correct Answer is B

Explanation

Choice A rationale

Wearing a loose-fitting bra does not help in managing mastitis. Proper breast support and continuing breastfeeding are important to keep the milk flowing and reduce inflammation.

Choice B rationale

Continuing to breastfeed helps to clear the infection and maintain milk supply. It ensures that the ducts are cleared, reducing inflammation and aiding recovery from mastitis.

Choice C rationale

Limiting fluid intake is not recommended. Adequate hydration is crucial to help with milk production and overall recovery, especially during an infection.

Choice D rationale

An abdominal sonogram is not relevant to the management of mastitis. Treatment focuses on antibiotics, pain relief, and continued breastfeeding. .

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A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

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A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.

Identify the sequence of steps the nurse should follow.

(Move the steps into the box on the right, placing them in the order of performance.

Use all the steps.)