A nurse is providing instruction to a postpartum client about newborn abduction. Which of the following statements by the client indicates an understanding of the teaching?
“I should remove my baby’s security bracelet when giving them a bath."
“I should not question staff about where they are taking my baby.”
“I can leave my baby in the room to walk around the unit as long as my door is closed.”
“l should avoid announcing my baby's birth on social media.”
The Correct Answer is D
A. The infant’s security bracelet should remain on at all times while in the hospital. Removing it compromises safety measures and tracking systems.
B. Parents should always verify the identity of staff members and ask about the purpose of removing the baby from the room. This promotes security awareness.
C. The baby should never be left unattended in the room; abduction can occur in seconds. The mother should call for assistance if she needs to leave the room.
D. Avoiding public announcements (e.g., on social media) reduces the risk of unauthorized individuals targeting the infant or attempting abduction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Anticipated:
Encourage the client to discuss their feelings: Psychosocial support is a key part of care for bulimia nervosa. Encouraging the client to discuss feelings helps address the underlying psychological factors contributing to binge-purge behaviors.
Monitor daily intake and output: Due to recurrent vomiting, electrolyte imbalances, and risk for dehydration, monitoring fluid intake and output is necessary to prevent complications such as hypovolemia or worsening electrolyte disturbances.
Request a prescription for fluoxetine: Fluoxetine (SSRI) is commonly prescribed for clients with bulimia nervosa to help reduce binge-purge behaviors and address comorbid anxiety or depression.
Not Anticipated:
Provide a reduced sodium diet: This client has hyponatremia (sodium 134 mEq/L), so sodium restriction is not appropriate. The priority is to restore normal electrolyte balance, not restrict sodium intake.
Request a prescription for bupropion: Bupropion is contraindicated in eating disorders with purging behaviors due to increased risk of seizures. It is therefore not appropriate for this client.
Correct Answer is A
Explanation
A. A 22-gauge catheter is appropriate for older adults because their veins are often fragile and small. It allows for adequate fluid administration while minimizing trauma to the vessel.
B. Tourniquets should be applied lightly in older adults to avoid vein rupture or hematoma formation.
C. The nurse should clean the site with gentle friction using antiseptic (e.g., chlorhexidine) in a circular motion from center outward; vigorous scrubbing may injure delicate skin.
D. Veins on the back of the hand are more likely to rupture in older adults. The nurse should choose veins in the forearm to preserve integrity and reduce complications.
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