A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. An ap-propriate nursing intervention when caring for an infant with hyperbilirubinemia and re-ceiving phototherapy by this method would be to:
a. Apply an oil-based lotion to the newborn's skin to prevent drying and cracking.
b. Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.
c. Place eye shields over the newborn's closed eyes.
d. Change the newborn's position every 4 hours.
C
Feedback
A Lotions and ointments should not be applied to the infant because they absorb heat, and this can cause burns.
B The lights increase insensible water loss, placing the infant at risk for fluid loss and dehydration. Therefore it is important that the infant be adequately hydrated.
C The infant's eyes must be protected by an opaque mask to prevent overexposure to the light. Eye shields should cover the eyes completely but not occlude the nares.
D The infant should be turned every 2 hours to expose all body surfaces to the light.
You might also like to view...
An older woman lives alone. What action by the nurse is best to keep the patient from becoming a victim of crime?
a. Encourage the patient to take self-defense classes. b. Tell the patient that it is okay to hang up or not answer the door. c. Have the patient install a monitored secu-rity system. d. Ask if there is a neighbor who can check up on her.
A patient who has HIV infection will begin treatment with efavirenz. The nurse expects this agent to be given in the combination product Atripla in order to
a. avoid development of psychiatric comorbidities. b. prevent dizziness, sedation, and nightmares. c. reduce viral resistance. d. prevent severe rash and hepatotoxicity.
Nurses on the unit have been working with an adolescent who was discharged a couple of days ago. The nurses receive word that this adolescent has just been found dead from a self-inflicted gunshot wound
Which of the following things would most help these nurses? a. a debriefing session with an opportunity to work through their own feelings of self-blame, grief, or guilt b. details of how the adolescent planned and went about the work of killing himself c. a visit to the funeral home to view the adolescent and talk with his family and friends d. talking with the caregivers or parents of the adolescent who committed suicide
Why would a nurse use the Omaha System?
a. To define each health care provider's role b. To use nursing diagnoses in community health nursing practice c. To foster collaborative practice d. To provide practitioners a method for communication