The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Observe the progression of the seizure.

Loosen clothing around the neck.

Insert a tongue blade between the teeth.

Hold the extremities close to the body.

Pad the side rails with pillows.

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is B

Explanation

The correct answer is choice B. To increase blood flow.A heel warmer is applied to the newborn’s foot before obtaining the blood sample to increase the blood flow to the area and make it easier to collect the sample.A heel warmer can also reduce pain and bruising by dilating the blood vessels and reducing the need for multiple punctures.

Choice A is wrong because a heel warmer does not prevent infection.Infection prevention requires proper cleaning of the puncture site and disposal of the lancet.

Choice C is wrong because a heel warmer does not reduce pain by itself.Pain reduction requires other measures such as cuddling, feeding, and distraction.

Choice D is wrong because a heel warmer does not prevent bruising.Bruising prevention requires applying pressure to the puncture site after collecting the sample.

Normal ranges for blood glucose levels in newborns vary depending on the method of measurement, but generally they are between 2.6 and 6.0 mmol/L.

A. Pitocin B. Methergine C. Terbutaline D. Hemabate E. Magnesium sulfate

Correct Answer is ["A","B","D"]

Explanation

The correct answer isA. Pitocin, B. Methergine, and D. Hemabate.

Choice A rationale:

Pitocin (oxytocin) is a first-line medication used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding.

Choice B rationale:

Methergine (methylergonovine) is another uterotonic agent used to control postpartum hemorrhage by causing sustained uterine contractions.

Choice C rationale:

Terbutaline is a tocolytic agent used to relax the uterus and is not used to manage postpartum hemorrhage.It is actually used to delay preterm labor.

Choice D rationale:

Hemabate (carboprost) is a prostaglandin used to treat severe postpartum hemorrhage by inducing strong uterine contractions.

Choice E rationale:

Magnesium sulfate is used to prevent seizures in preeclampsia and is not indicated for the management of postpartum hemorrhage.

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The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a heel stick blood glucose test on a newborn who is preterm. The nurse should apply a heel warmer to the newborn’s foot before obtaining the blood sample for which of the following reasons?

Correct Answer is B

Explanation

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):

Correct Answer is ["A","B","D"]

Explanation

A nurse is caring for a client at risk for falls. Which intervention is most important for fall prevention?

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Which data would be included in a health history? (Select all that apply.)

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The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)

The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately?(Select all that apply.).