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Exhibits
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Nurses' Notes

3 weeks old:

Follow up newborn weight check. Parent is smoking a cigarette in the living room while infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight.

Vital Signs

3 weeks old:

Temperature 36.9° C (98.4" F)

Heart rate 138/min

Respiratory rate 42/min

Parent is smoking a cigarette in the living room while infant sleeps

Newborn currently asleep in prone position

Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight

Temperature 36.9° C (98.4" F)

Heart rate 138/min

Respiratory rate 42/min

Answer and Explanation

The Correct Answer is ["A","B"]

Parent smoking around the infant exposes the newborn to secondhand smoke, increasing the risk of respiratory infections and sudden infant death syndrome (SIDS). Smoking should be avoided in the infant’s environment.
The prone sleeping position raises the risk of SIDS; current guidelines recommend placing infants to sleep on their backs (supine position) to reduce this risk.

Rationale for Incorrect Findings:

The newborn’s vital signs are within normal limits for a 3-week-old: temperature 36.9° C (98.4° F), heart rate 138/min, respiratory rate 42/min. These values indicate stable cardiopulmonary status and do not require intervention.
The newborn sleeping in a bassinet, particularly in the parents’ bedroom, follows safe sleep recommendations that reduce SIDS risk by promoting a separate, firm sleeping surface close to caregivers. This is an appropriate practice and does not require intervention.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Teaching fall prevention strategies to caregivers: Teaching caregivers fall prevention strategies is primarily a nursing responsibility. While other professionals may be involved later in care planning, this educational task does not typically require interprofessional collaboration at the planning stage.

B. Implementing a population-based approach to client care: A population-based approach often requires collaboration among multiple disciplines, such as public health nurses, social workers, nutritionists, and physicians. An interprofessional conference ensures a coordinated strategy that addresses various health determinants and needs of the population.

C. Maintaining confidentiality of HIV-positive status: Maintaining client confidentiality is a legal and ethical obligation of the nurse and does not necessitate a team meeting. It is a standard aspect of individual professional practice and not something discussed in an interprofessional forum.

D. Conducting a windshield survey in a neighborhood: A windshield survey is an observational tool used by public health nurses to assess community needs. It is typically conducted independently and does not require collaboration from other professionals during the planning phase.

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics B. Place the employee under quarantine for 14 days. C. Alert the family members of coworkers about their possible exposure to anthrax. D. Instruct the client to wear a mask at work.

Correct Answer is A

Explanation

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics: Anthrax exposure can be fatal if not treated early. Public health protocols recommend prophylactic antibiotics such as ciprofloxacin or doxycycline for those potentially exposed. Timely referral helps prevent the onset of disease.

B. Place the employee under quarantine for 14 days: Quarantine is typically used for contagious diseases that spread person to person, such as COVID-19 or influenza. Anthrax is not spread between individuals, so quarantining an exposed person is unnecessary and not a standard public health measure for this pathogen.

C. Alert the family members of coworkers about their possible exposure to anthrax: Because anthrax does not spread from person to person, there is no need to notify family members of potential exposure. Such an action could cause unnecessary alarm and would not contribute to effective disease control or prevention.

D. Instruct the client to wear a mask at work: Wearing a mask does not prevent the progression of anthrax in an exposed individual nor does it protect others, as anthrax is not contagious between humans. This measure would not address the exposure risk or help in disease managemet.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for clients in the community. For which of the following actions should the nurse plan an interprofessional conference?

Correct Answer is B

Explanation

A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take?

Correct Answer is A

Explanation

A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include?

A nurse is caring for a group of clients who have substance use disorder. Which of the following strategies should the nurse suggest for maintaining long-term abstinence?

A nurse in a mobile health clinic is caring for a client who requires an immunization and does not speak the same language as the nurse. Which the following actions should the nurse take first?

A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in the teaching (Select all that apply.)

A nurse is providing an educational program for guardians of toddlers. Which of the following activity recommendations should the nurse include in the program? (Select all that apply.)

A nurse is evaluating a client who uses ginger as an alternative and complementary therapy. Which of the following outcomes indicates the effectiveness of the treatment?

A community health nurse is triaging clients following a worksite explosion. Exhibits Select the 2 clients that the nurse should identify as requiring immediate care.

A community health nurse is working in a homeless shelter during a pandemic. The nurse should identify which of the following situations as an ethical dilemma?