A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

keeping the newborn in the supine position

reducing the amount of fluid intake to 8 ounces daily

ensuring that the newborn is covered or clothed

covering the newborn's eyes while under the bililights

Answer and Explanation

The Correct Answer is D

A.   While positioning is important for phototherapy, the supine position may not always be necessary.
B.   Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C.   Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D.   Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

A. The need for peer approval B. The need for safety and security C. The need for separation and control D. The need for love and belonging

Correct Answer is C

Explanation

A. Toddlers are typically not yet focused on peer approval as a developmental task.
B. While safety and security are important for toddlers, they are not the primary focus driving the behavior described.
C. Toddlers are asserting their need for independence and control over their environment, leading to behaviors such as tantrums when limits are set.
D. Love and belonging are important for all ages but are not the primary focus driving the behavior described.

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A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

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Naxlex Comprehensive Predictor Exams

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

The nurse observing toddlers in a daycare center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?

Correct Answer is C

Explanation

A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

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