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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.

A. Call the healthcare provider and clarify the prescription. B. Request verification of the prescription by the charge nurse. C. Tell the pharmacy to send an accurate child's dosage. D. Ask another nurse if adult dosages are ever given to children.

Correct Answer is A

Explanation

A. Contacting the healthcare provider to clarify the prescription is essential to ensure the correct dosage for the child. It allows for immediate resolution and prevents potential harm from an incorrect dosage.
B. Requesting verification from the charge nurse might be helpful but doesn’t address the issue of the potentially incorrect prescription dosage.
C. Instructing the pharmacy to send an accurate child's dosage is a good step after clarification but doesn't address the immediate concern of the potentially incorrect prescription.
D. Asking another nurse about the administration of adult dosages to children is relevant, but the immediate action should be clarifying the prescription directly with the healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?

Correct Answer is D

Explanation

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is A

Explanation

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