The nurse is preparing discharge instructions for the family of a newborn. What will the nurse include in educating the parents about body temperature regulation? (Select all that apply)
Newborns lack shivering ability to produce heat until 3 months old.
Newborns have a small surface area to body mass ratio
Newborns have limited use of voluntary muscle activity or movement to produce heat.
Newborns have limited stores of metabolic substrates (glucose, glycogen, fat).
Newborns have a large surface area to body mass ratio.
Correct Answer : A,C,D,E
A. Newborns cannot shiver effectively to produce heat until around 3 months of age, making them more vulnerable to cold stress.
B. Newborns do not have a small surface area to body mass ratio; instead, they have a large ratio, which increases heat loss.
C. Limited voluntary muscle activity reduces their ability to generate heat through movement.
D. Newborns have only limited metabolic reserves (glycogen, glucose, fat), making it harder for them to sustain thermogenesis.
E. A large surface area relative to body mass increases susceptibility to heat loss through radiation, conduction, convection, and evaporation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.
B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.
C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.
D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.
E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.
Correct Answer is C
Explanation
A. Droplet precautions are not required for MRSA in a wound; contact precautions are indicated.
B. Notifying the surgeon may be appropriate later, but immediate infection control measures take priority.
C. The priority is to implement contact precautions to prevent the spread of MRSA. This includes wearing gown and gloves upon entering the room.
D. Informing the charge nurse may be done afterward, but the nurse’s immediate responsibility is to initiate appropriate isolation precautions.
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