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 A
Explanation
Choice A rationale
Ibuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.
Choice B rationale
Ibuprofen use is contraindicated in individuals with gastric issues, such as peptic ulcers, as it inhibits prostaglandins, reducing mucosal protection and increasing risks of gastrointestinal perforation and bleeding.
Choice C rationale
Assessing contraception use is irrelevant to ibuprofen administration because ibuprofen lacks teratogenic effects or interference with hormonal contraception and poses no pregnancy-related risks at therapeutic doses.
Choice D rationale
While ibuprofen can elevate blood pressure via prostaglandin inhibition, this is secondary and less clinically significant compared to immediate concerns like drug interactions or gastric side effects.
Correct Answer is A
Explanation
Choice A rationale
Checking the identification badge ensures the individual removing the baby is authorized, reducing the risk of abduction. This is a recommended safety practice in hospital settings to protect newborns.
Choice B rationale
Including photos in public birth announcements on social media increases the risk of identity theft or child abduction. It is not recommended as part of newborn safety measures.
Choice C rationale
Allowing the baby to sleep on the bed without supervision risks accidental injury, such as falls or suffocation. Safe sleep practices emphasize supervised, separate sleeping areas.
Choice D rationale
Nurses are instructed to transport newborns in bassinets rather than in their arms to minimize risks such as drops, maintaining higher safety standards in hospital environments.
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