A nurse assesses a premature infant and finds shearing injuries to the infant's arms and legs. What action by the nurse is best?
A.
Apply emollient lotion to the skin.
B.
Assess the baby for pain.
C.
Order hypoallergenic crib linens.
D.
Place sheepskin under the baby.
ANS: B
Skin breakdown due to rubbing and shearing is a common occurrence in a baby with unrelieved pain. The nurse should first assess the baby for pain and treat accordingly. Emollient should not be used on open skin. Hypoallergenic linens are not warranted. Sheepskin may or may not be helpful, but the best action is to assess and treat any pain.
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