A nurse is providing teaching to a parent who reports feeling overwhelmed and frustrated because their newborn has persistent, inconsolable crying despite all of the usual soothing measures. Which complication should the nurse stress the importance of preventing through immediate and thorough parental education?
Infections caused by inadequate diaper changes
Colic as a common cause of crying in newborns
Failure to thrive related to poor feeding techniques
Shaken baby syndrome due to parental frustration and excessive crying
The Correct Answer is D
A. Infections caused by inadequate diaper changes: While proper hygiene is important, persistent crying itself does not directly cause infections, so this is not the primary concern in this scenario.
B. Colic as a common cause of crying in newborns: Colic can explain inconsolable crying, but education about colic alone does not address the serious safety risks associated with caregiver frustration.
C. Failure to thrive related to poor feeding techniques: Although inadequate feeding can contribute to failure to thrive, the scenario focuses on parental stress and the risk of harm from inconsolable crying, making this a secondary concern.
D. Shaken baby syndrome due to parental frustration and excessive crying: Persistent inconsolable crying is a major risk factor for caregiver frustration, which can lead to abusive actions such as shaken baby syndrome. Immediate education on safe coping strategies is crucial to prevent serious injury or death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Diphtheria: Diphtheria, caused by Corynebacterium diphtheriae, primarily affects the upper respiratory tract and is characterized by a thick pseudomembrane in the throat and systemic toxin effects. Koplik spots are not associated with this bacterial infection.
B. Poliomyelitis: Poliomyelitis is caused by the poliovirus and primarily affects motor neurons, potentially leading to paralysis. Oral mucosal manifestations such as Koplik spots are not present in this viral illness.
C. Measles (rubeola): Measles, caused by the measles virus, is characterized by prodromal fever, cough, coryza, conjunctivitis, and the appearance of Koplik spots on the buccal mucosa. These small, white or bluish-white lesions with a red base are pathognomonic for measles and appear 1–2 days before the skin rash.
D. Fifth disease (erythema infectiosum): Fifth disease, caused by parvovirus B19, presents with a “slapped cheek” rash and mild systemic symptoms. Koplik spots are not a feature of this illness.
Correct Answer is B
Explanation
A. Assess the stoma site monthly to minimize disruption to the client's routine: Stoma assessment should be performed at least daily, especially in pediatric clients, to monitor for changes in color, size, and skin integrity, rather than monthly.
B. Consult the wound-ostomy team for guidance on treating irritated or broken skin around the stoma: Involving a wound-ostomy-continence (WOC) nurse ensures specialized care for peristomal skin breakdown and helps prevent complications, which is essential for maintaining the stoma and surrounding tissue.
C. Change the ostomy appliance daily regardless of the condition of the stoma site: Routine daily changes are unnecessary and can irritate the skin. Appliance changes should be based on the condition of the skin and the integrity of the pouch system.
D. Empty the ostomy's stool output only when the collection appliance is full to capacity: Waiting until the appliance is full can increase the risk of leakage, skin breakdown, and odor. It is recommended to empty the pouch when it is one-third to one-half full.
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