Complete the following sentence using the lists of options.
The nurse should prescribe intramuscular ceftriaxone to decrease the risk of ophthalmia neonatorum in a newborn.
The nurse should identify ceftriaxone as a suitable medication for bacterial infections.
The nurse should use intramuscular ceftriaxone to treat gonorrhea effectively.
The nurse should select intramuscular ceftriaxone for prophylaxis against postpartum infections.
The Correct Answer is A
Choice A rationale
Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.
Choice B rationale
While ceftriaxone treats bacterial infections broadly, this choice lacks specificity to neonatal risk factors like gonococcal transmission. It’s insufficient for targeted preventative care against ophthalmia neonatorum.
Choice C rationale
Ceftriaxone effectively treats gonorrhea by targeting penicillin-binding proteins. However, this option overlooks preventive measures crucial for neonates, focusing instead on therapeutic intervention for active infections.
Choice D rationale
Postpartum infection prophylaxis might use ceftriaxone, but it fails to address neonatal ophthalmic concerns. The focus here is misplaced, diverging from the stated preventive objective for the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Checking the newborn’s temperature every 8 hours is insufficient during phototherapy. Frequent monitoring every 2-4 hours ensures proper thermoregulation, essential to preventing hypothermia or hyperthermia risks.
Choice B rationale
Moisturizing lotions can interfere with phototherapy by altering light penetration. Additionally, these products might increase the risk of skin irritation or chemical burns under light exposure.
Choice C rationale
Repositioning every 2-3 hours evenly exposes all skin areas to light, optimizing bilirubin breakdown and preventing pressure ulcers, ensuring effective phototherapy outcomes and skin integrity.
Choice D rationale
Glucose water is not recommended for hyperbilirubinemia management. Adequate hydration through breastfeeding or formula feeding ensures bilirubin excretion without interfering with feeding schedules or therapy effectiveness. .
Correct Answer is E
Explanation
Choice A rationale
No acute distress indicates the client's physiological stability. It reflects an absence of acute systemic responses like tachycardia or labored breathing, suggesting normal homeostasis during examination.
Choice B rationale
No cardiovascular murmurs or rubs imply normal valve function and an absence of pericardial inflammation. This finding indicates no pathological blood flow changes or cardiac friction sounds.
Choice C rationale
Clear bilateral breath sounds suggest open airways and proper ventilation, excluding lower respiratory tract issues like pneumonia. Normal respiratory examination confirms adequate pulmonary function.
Choice D rationale
Fundal height at 38 cm corresponds to late-third trimester pregnancy. It reflects uterine enlargement due to fetal growth, indicating gestational progression but unrelated to cervical discharge.
Choice E rationale
Purulent cervical discharge suggests an ongoing infection, likely bacterial cervicitis. It reflects leukocyte accumulation due to pathogenic invasion, requiring clinical intervention to prevent complications.
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