A nurse is caring for a neonate requiring phototherapy for a high bilirubin. Which interventions should the nurse implement? Select all that apply
a. Cover the neonate's eyes with an opaque mask.
b. Limit repositioning of the neonate.
c. Dress the neonate in a T-shirt and diaper.
d. Monitor the bilirubin level.
e. Monitor temperature ever 2 to 4 hours.
A, D, E
During hospitalization, to maximize the effectiveness of phototherapy, the neonate should be completely undressed or wearing only a diaper. While phototherapy is in use, the neonate's eyes are covered with an opaque mask that is usually secured in place with a headband or cloth adhesive. The neonate's position is changed frequently to ensure maximal skin exposure to the light source. Monitoring the neonate's bilirubin level is performed one to four times daily to assess the effectiveness of phototherapy. The nurse monitors the neonate's temperature every 2 to 4 hours to ensure maintenance within normal limits. The additional heat generated by the phototherapy unit places the neonate at risk for hyperthermia. The lack of clothing on the neonate increases the possibility of heat loss through convection, conduction, radiation, and evaporation and may lead to hypothermia.
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