A newborn is jaundiced and is receiving phototherapy. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy is to:
1. apply an oil-based lotion to the newborn's skin to prevent dying and cracking.
2. limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.
3. place eye shields over the newborn's closed eyes.
4. change the newborn's position every 4 hours.
3
1. Incorrect. Lotions and ointments should not be applied to the infant because they absorb heat, and this can cause burns.
2. Incorrect. The lights increase insensible water loss, placing the infant at risk for fluid loss and dehydration. Therefore, it is important that the infant be adequately hydrated.
3. Correct. The infant's eyes must be protected by an opaque mask to prevent overexposure to the light. Eye shields should cover the eyes completely but not occlude the nares.
4. Incorrect. The infant should be turned every 2 hours to expose all body surfaces to the light.
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1. "You need to work on your health assessment skills before your next employee evaluation." 2. "Get someone to help you with your health assessment skills by the end of the month." 3. "Read a health assessment book and practice your skills." 4. "Plan to study one body system a week and demonstrate your assessment skills to me every week."
In an adult, erythrocytes are continuously produced in the
a. yellow bone marrow. b. lymphatic system. c. spleen. d. red bone marrow.
A patient is admitted with pulmonary edema. Which portions of the admission assessment have priority? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Cardiac history 2. Pulmonary history 3. Renal history 4. Family history of genetic illnesses 5. Vaccination status
A 35-year-old female patient with a possible pituitary adenoma is scheduled for a computed tomography (CT) scan with contrast media. Which patient information is most important for the nurse to communicate to the health care provider before the test?
a. Bilateral poor peripheral vision b. Allergies to iodine and shellfish c. Recent weight loss of 20 pounds d. Complaint of ongoing headaches