a nurse is caring for a newborn in the nursery following a circumcision the newborns grandparent who does not have an identification bracelet requests a nurse is caring for a newborn in the nursery following a circumcision the newborns grandparent who does not have an identification bracelet requests
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Nursing Elites

ATI RN

RN ATI Capstone Proctored Comprehensive Assessment 2019 B with NGN

1. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to his parents' room. Which of the following actions should the nurse take?

Correct answer: C

Rationale: In this scenario, where the grandparent lacks proper identification, the nurse should respectfully deny the request to take the newborn. It is crucial to prioritize the newborn's safety and security by following hospital policies and procedures. Checking the newborn's identification bracelet against the chart (Choice A) may not be sufficient to address the situation at hand, as the grandparent's lack of identification is the primary concern. While obtaining permission from the newborn's parents (Choice B) is important, the lack of proper identification from the grandparent takes precedence. Reviewing the newborn's footprints record (Choice D) is not necessary in this situation, as the immediate concern is ensuring proper identification and security before allowing the newborn to leave the nursery.

2. Which part of your brain is active when you get cues about being hungry, thirsty, or sleepy?

Correct answer: C

Rationale: The correct answer is the Hypothalamus (Choice C). The hypothalamus plays a crucial role in regulating basic bodily functions such as hunger, thirst, and sleep. It receives cues related to these needs and helps to maintain homeostasis in the body. The Hippocampus (Choice A) is primarily involved in memory formation and spatial navigation, not in regulating physiological needs. The Thalamus (Choice B) acts as a relay station for sensory information but is not the main center for hunger, thirst, or sleep regulation. The Amygdala (Choice D) is more associated with emotions, particularly fear and pleasure, rather than physiological needs like hunger, thirst, or sleep.

3. What is the priority intervention for a patient with dehydration?

Correct answer: A

Rationale: The correct answer is to administer IV fluids. This intervention is the priority as it helps rapidly restore hydration in patients with dehydration by delivering fluids directly into the bloodstream. Monitoring intake and output (choice B) is important but comes after providing immediate fluid resuscitation. Administering oral fluids (choice C) may not be sufficient for a patient with dehydration who requires rapid rehydration. Providing electrolyte replacement (choice D) is essential but often follows fluid resuscitation to correct any electrolyte imbalances resulting from dehydration.

4. The caregiver is teaching a parent of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?

Correct answer: B

Rationale: The correct answer is B. Valproic acid should be administered with food to reduce the risk of gastrointestinal upset. Giving it on an empty stomach may increase the likelihood of adverse effects. The other statements are correct: A - Carbonated beverages should not be used to dilute the medication, C - The tablet should not be chewed, and D - Regular blood work is necessary to monitor valproic acid levels and potential side effects.

5. In alcoholic patient, the nurse knows that the vitamin deficient to these types of clients that leads to psychoses is:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

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