During a daily assessment in the nursery, the practical nurse (PN) notices three large bluishblack areas on the back and buttocks of an African-American infant. Which action should the PN take?
A Write an incident report about the bruises on the infant.
B Review the labor and delivery record for birth trauma.
C Record the size and location of the areas in the infant's chart.
D Notify the pediatrician of a possible bleeding problem with the infant.
The Correct Answer is C
A. Write an incident report about the bruises on the infant. - These areas might not be bruises; hence, writing an incident report without accurate information could be premature.
B. Review the labor and delivery record for birth trauma. - While important, it might not directly relate to the observed bluish-black areas.
C. Record the size and location of the areas in the infant's chart. - Documenting the observations is essential for tracking changes and informing other healthcare providers.
D. Notify the pediatrician of a possible bleeding problem with the infant. - Without further assessment, assuming a bleeding problem might be premature and unnecessarily alarming.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.
D. The duration of submersion directly correlates with the level of hypoxemia.
Correct Answer is B
Explanation
A. Urinary frequency. - Urinary frequency is not a typical symptom indicative of hypoglycemia.
B. Tachycardia. - Tachycardia, an increased heart rate, can be a sign of hypoglycemia as the body responds to low blood sugar by increasing the heart rate to compensate.
C. Elevated temperature. - Elevated temperature is not typically associated with hypoglycemia; it might suggest an infection or other issues.
D. Hypertension. - Hypertension, or high blood pressure, is not a typical sign of hypoglycemia; it might indicate other health conditions or issues.
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