What is an important nursing intervention for a full-term infant receiving phototherapy?
a. Observing for signs of dehydration
b. Using sunscreen to protect the infant's skin
c. Keeping the infant diapered to collect frequent stools
d. Informing the mother why breastfeeding must be discontinued
ANS: A
Dehydration is a potential risk of phototherapy. The nurse monitors hydration status to be alert for the need for more frequent feedings and supplemental fluid administration. Lotions are not used; they may contribute to a "frying" effect. The infant should be placed nude under the lights and should be repositioned frequently to expose all body surfaces to the lights. Breastfeeding is encouraged. Intermittent phototherapy may be as effective as continuous therapy. The advantage to the mother and father of being able to hold their infant outweighs the concerns related to clearance.
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