Which nursing interventions are appropriate when caring for the newborn undergoing phototherapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Cover the newborn's eyes at all times, even when not under the lights.
2. Close the newborn's eyelids before applying eye patches.
3. Inspect the eyes each shift for conjunctivitis.
4. Keep the baby swaddled in a blanket to prevent heat loss.
5. Reposition the baby every 2 hours.
2, 3, 5
Explanation: 2. Apply eye patches over the newborn's closed eyes during exposure to banks of phototherapy.
3. Discontinue conventional phototherapy and remove the eye patches at least once per shift to assess the eyes for the presence of conjunctivitis.
5. Repositioning allows equal exposure of all skin areas and prevents pressure areas.
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George is a reliable certified nursing assistant (CNA) on your unit. He is liked by most staff and some patients. George is very loud and gregarious while at work, however, and this is frequently a problem
During his annual evaluation, you do not address this because you do not want to upset him. a. This is appropriate because, after all, he is reliable b. This is appropriate because he cannot change his personality c. This is inappropriate because the manager is not helping him improve and is being too lenient d. This should be ignored; after all, for the last 2 weeks, it has not been a problem
For the nurse managing the therapeutic milieu, the most heavily weighted factor in determining
whether a client should receive a prn dose of neuroleptic medication is whether a. the client is willing to accept the medication. b. less-restrictive alternatives have been tried without success. c. the client's behavior indicates possible danger to self, others, or the environment. d. administration of the medication will make the work of the staff easier or safer.
The nurse has investigated safety hazards and recognizes that which one of the following state-ments is accurate regarding safety needs?
1. Bacterial contamination of foods is uncontrollable. 2. Fire is the greatest cause of unintentional death. 3. Carbon dioxide levels should be monitored in home settings. 4. Temperature extremes seldom affect the safety of clients in acute care facilities.
A client has abruptly stopped taking a CNS depressant, and is experiencing withdrawal symptoms. Which symptoms should the nurse expect to see?
1. Hypothermia, psychosis, seizures, decreased heart rate, increased blood pressure, and panic anxiety 2. Fever, euphoria, headache, increased heart rate, and fatigue 3. Fever, psychosis, seizures, increased heart rate, decreased blood pressure, panic, and anxiety 4. Euphoria, fever, tremor, relaxation, and coma