A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?
temperature instability
increased urinary output
wakefulness
interest in feeding
The Correct Answer is A
A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B. Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C. A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D. Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.
Correct Answer is D
Explanation
A. Teens who date frequently may experience fluctuations in self-esteem and autonomy, but it is not a universal trend and depends on various factors.
B. While mixed-sex group activities are common, many late adolescents do engage in dating relationships as couples.
C. Homosexual behavior during adolescence does not necessarily predict sexual orientation in adulthood, as sexual orientation can evolve over time.
D. Research indicates that by late adolescence, most teens have experienced at least one romantic relationship, whether short-term or long-term, reflecting a common developmental milestone.
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