Which of the following nursing interventions would be a priority when caring for a newborn who is receiving phototherapy for high bilirubin levels? Select all that apply
A)
Frequent monitoring of temperature
B)
Keeping diapers dry and clean
C)
Maintaining oral intake to prevent dehydration
D)
Putting lotion on his skin frequently to prevent drying/cracking of skin
E)
Applying sunscreen to prevent ultraviolet radiation
Ans:
A, C
Feedback:
Effective treatment depends on the area of skin exposed and the infant's ability to metabolize and excrete bilirubin. Frequent monitoring of bilirubin levels, body temperature, and hydration is critical to the infant's care. Diapers are usually not worn when under phototherapy light (want to keep the skin exposed to the light). Applying lotion and sunscreen would result in possible burning of the infant's skin while under the light.
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