When planning the care of a newborn addicted to cocaine who is experiencing withdrawal, which of the following would be least appropriate to include?
A) Wrapping the newborn snugly in a blanket
B) Waking the newborn every hour
C) Checking the newborn's fontanels
D) Offering a pacifier
B
Response:
Stimuli need to be decreased. Waking the newborn every hour would probably be too stimulating. Measures such as swaddling the newborn tightly and offering a pacifier help to decrease irritable behaviors. A pacifier also helps to satisfy the newborn's need for nonnutritive sucking. Checking the fontanels provides evidence of hydration.
You might also like to view...
Which population does the nurse understand is most at risk for osteosarcoma?
A) Older adults B) Young adult males C) Middle-aged females D) Female adolescents
The emergency department nurse anticipates that which clients may be treated with ertapenem (Invanz)?
Standard Text: Select all that apply. 1. College student diagnosed with community-acquired pneumonia 2. Client diagnosed with complicated urinary tract infection (UTI) 3. Diabetic client with an infected toe 4. Young child diagnosed with H. influenzae otitis media 5. Older client diagnosed with community-acquired methicillin-resistant S. aureus (MRSA)
A 31-year-old woman who is at high risk for diabetes is at 18 weeks' gestation. During her first antenatal visit, which is the accurate approach to evaluate the client for diabetes?
1. Conduct screening for type 2 diabetes mellitus as soon as possible. 2. Begin serial testing of the client's serum glucose and HA1c at 24 weeks' gestation. 3. If diabetes is diagnosed, consider this condition to be gestational diabetes mellitus (GDM). 4. Recognize HA1c equal to or greater than 4.5% or a fasting plasma glucose level equal to or greater than 90 mg/dL as being diagnostic of diabetes.
The nurses have performed a comprehensive literature review and used their findings to change the facility's policy for performing tracheostomy care to make it more evidence-based
The new procedure is put in place, and they are receiving a good deal of positive feedback about the new approach. What phase of the change process are these nurses involved in? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces