A nurse is obtaining care for a clieture of a newborn. Which of the following sites should the nurse use?

Keep the client on NPO status.

Administer a laxative to the client.

Apply heat to the client's abdomen.

Place the client's head of bed flat.

Answer and Explanation

The Correct Answer is D

A. Keeping a newborn on NPO (nothing by mouth) status may be required in specific situations but not generally for routine care.

B. Laxatives are not routinely administered to newborns unless medically indicated for constipation.

C. Applying heat to the abdomen is not appropriate unless ordered by a healthcare provider, especially if the infant's temperature regulation is compromised.

D. Placing the head of the bed flat can help with positioning the newborn to prevent any breathing difficulties or aspiration.

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Correct Answer is B

Explanation

A. Positioning the knees higher than the hips could increase the risk of hip dislocation.

B. Keeping an abduction pillow between the legs helps maintain the hip in the correct position and prevents dislocation.

C. Raising the head of the bed to a high-Fowler’s position may strain the hip and is not recommended for dislocation prevention.

D. Elevating the affected leg on a pillow may cause internal rotation and increase the risk of dislocation.

A. Provide a tracheostomy tray at the bedside. B. Place the client in supine position. C. Insert an IV saline lock. D. Place a plastic tongue depressor at the client's bedside.

Correct Answer is C

Explanation

A. Provide a tracheostomy tray at the bedside: Incorrect. A tracheostomy tray is not necessary unless the client has a tracheostomy, which is not typically indicated for seizure precautions.

B. Place the client in supine position: Incorrect. The client should be placed on their side to prevent aspiration and promote airway patency during and after a seizure.

C. Insert an IV saline lock: A saline lock is essential in case the client needs emergency medication or fluids, especially during or after a seizure. It allows for quick IV access without continuous infusion.

D. Place a plastic tongue depressor at the client's bedside: Incorrect. A tongue depressor should never be inserted into the mouth during a seizure as it can lead to injury. The priority is to protect the client’s airway and prevent harm.

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Naxlex Comprehensive Predictor Exams

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