A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Apply elastic stockings before the client gets out of bed.

Apply warm, moist packs to the client's lower legs.

Have the client ambulate as often as possible.

Administer NSAIDs every 4 to 6 hours.

Answer and Explanation

The Correct Answer is C

A: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

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Correct Answer is B

Explanation

A. Decreased muscle tone is not typically associated with neonatal abstinence syndrome.
B. Exaggerated Moro reflex, which is a startle response that causes the baby to fling their arms and legs out and then curl them in, is a common signof neonatal abstinence
C. Consoling easily is not a characteristic feature of neonatal abstinence syndrome; these infants are often difficult to console.
D. A high pitched cry is a common symptom of neonatal abstinence syndrome. A weak cry is not anticipated.

A. Bulging anterior fontanel B. Decreased urine specific gravity C. Bounding pulses D. Decreased skin turgor

Correct Answer is D

Explanation

A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Correct Answer is B

Explanation

A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Correct Answer is D

Explanation

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