A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving photother-apy by this method would be to:
a. Apply an oil-based lotion to the newborn's skin to prevent dying 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.
ANS: 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. Lotions and ointments should not be applied to the infant because they absorb heat, and this can cause burns. The lights in-crease insensible water loss, placing the infant at risk for fluid loss and dehydration. Therefore, it is important that the infant be adequately hydrated. The infant should be turned every 2 hours to expose all body surfaces to the light.
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