When caring for a neonate in a radiant warmer, what should the nurse be alert to?
a. Exposure to prolonged cold stress
b. Need for Plexiglas shields to protect the infant
c. Transepidermal water loss leading to dehydration
d. Increased risk of infection from the open environment
ANS: C
Radiant warmers result in greater evaporative fluid loss than normal, thus predisposing the infant to dehydration. Plastic wrap can help reduce this loss. Daily fluid requirements are increased to compensate. The radiant warmer protects the infant from cold stress. Plexiglas shields are not used in radiant warmers because they block the radiant heat waves. With clean and aseptic technique, there is not a greater risk of infection.
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