A student nurse is caring for a neonate undergoing intensive phototherapy. Which action indicates that the student understands how to provide care for an infant undergoing intensive phototherapy?
1. Assesses temperature every 6 hours
2. Assesses urine specific gravity with each voiding
3. Removes eye coverings to help keep the baby calm
4. Removes the infant from the Isolette for diaper changes
2
Explanation:
1. Every 6 hours is too infrequent; the temperature should be assessed every 4 hours to assess for hyperthermia or hypothermia.
2. When excreted, the newborn's urine will be much darker in color/appearance because of the excreted higher conjugated bilirubin content. Darker urine can also indicate dehydration. Assessing the specific gravity will help differentiate the reason for the change in urine color.
3. Eyes should be covered at all times.
4. The infant's care should be clustered to keep the infant under the lights as much as possible. The diaper should have been changed while under the lights in the Isolette.
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