A nurse is contributing to the plan of care for a newborn who is experiencing heroin withdrawal. The nurse should anticipate a prescription for which of the following medications?
A. Methadone B. Meperidine C. Hydromorphone D. Fentanyl
Answer and Explanation
The Correct Answer is A
A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.
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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Allowing the baby to finish a bottle at the next feeding increases the risk of overfeeding and can lead to problems such as excessive weight gain and discomfort.
B. Incorrect. Placing the baby on their stomach after feedings increases the risk of choking and is not recommended. The correct position is to place the baby on their back to sleep.
C. Correct. Newborns typically need to be fed approximately every 2-3 hours, which amounts to about six to eight feedings per day. This statement indicates an understanding of the frequency of feeding required for a newborn.
D. Incorrect. Adding rice cereal to a newborn's bottle is not recommended, especially without medical advice, as it can increase the risk of choking and may not be developmentally appropriate.
Correct Answer is C
Explanation
-A. Incorrect. Flexing the client's affected hip to 120 degrees may be part of postoperative care but does not necessarily demonstrate cost-effective care.
B. Incorrect. Adducting the client's affected leg may be part of postoperative care but does not necessarily demonstrate cost-effective care.
C. Correct. Checking the neurovascular status of the client's lower extremities every 6 hours is a standard nursing intervention following total hip arthroplasty. This action is essential for monitoring the client's circulation and nerve function, ensuring early detection of complications such as deep vein thrombosis or nerve damage, which can help prevent further complications and reduce healthcare costs.
D. Incorrect. Applying a sequential compression device to the client's lower extremities may be part of postoperative care to prevent deep vein thrombosis but does not necessarily demonstrate cost-effective care.
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