A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?

Check the newborn’s identification using the crib card.

Require visitors to wear an identification band.

Replace the infant’s identification band after his name has been recorded.

Obtain an imprint of the infant’s feet prior to taking him to the nursery.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Checking the newborn’s identification using the crib card is not the most reliable method. The crib card could be misplaced or switched accidentally.
Choice B rationale
Requiring visitors to wear an identification band does not directly ensure the proper identification of newborns. While it can enhance the security of the unit, it does not link the newborn to their correct parents.
Choice C rationale
Replacing the infant’s identification band after his name has been recorded is not the most effective method. The identification band should be placed on the newborn immediately after birth to prevent mix-ups.

Choice D rationale
Obtaining an imprint of the infant’s feet prior to taking him to the nursery is the correct answer. This method is a reliable way to identify newborns. The footprints, along with the mother’s fingerprints, are often taken within the first hour after birth. This can be used for identification throughout the hospital stay.

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Correct Answer is C

Explanation

Choice A rationale
Airborne precautions are used for diseases that are spread through tiny droplets in the air, such as tuberculosis or chickenpox. Clostridium difficile is not spread in this manner.
Choice B rationale

Droplet precautions are used for diseases that are spread through larger droplets, such as influenza or pertussis. Clostridium difficile is not spread in this manner.
Choice C rationale
This is the correct answer. Contact precautions are used for diseases that are spread through direct contact with the patient or their environment. Clostridium difficile is a bacterium that can be present in feces and can contaminate surfaces, so contact precautions are appropriate.
Choice D rationale
Protective environment precautions are used for patients who have a compromised immune system, such as those undergoing stem cell transplants. These precautions are not typically used for patients with Clostridium difficile.

A. Instruct the client to avoid urinary elimination until after administration. B. Place the client in a semi-Fowler’s position for 1 hr after administration. C. Verify that informed consent is obtained prior to administration. D. Allow the medication to reach room temperature prior to administration.

Correct Answer is C

Explanation

Choice A rationale
Instructing the client to avoid urinary elimination until after administration is not necessary. The administration of dinoprostone does not interfere with the client’s ability to urinate.
Therefore, this action is not required.
Choice B rationale
Placing the client in a semi-Fowler’s position for 1 hr after administration is not a necessary action. While positioning can be important in certain medical procedures, there is no specific requirement for a semi-Fowler’s position in the administration of dinoprostone.
Choice C rationale
Verifying that informed consent is obtained prior to administration is a crucial step in any medical procedure, including the administration of dinoprostone. Informed consent ensures that the client is aware of the procedure, its purpose, and any potential risks or benefits. It is a legal and ethical requirement.
Choice D rationale
Allowing the medication to reach room temperature prior to administration is not a necessary action. There is no specific requirement for dinoprostone to be at room temperature before administration.

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A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection. What type of isolation precautions should the nurse initiate for the client?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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