A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

Choice A rationale:
The symptoms described by the baby's father, including confusion and having conversations with herself, are concerning and could indicate a severe mental health issue or a neurological problem. Urgent evaluation in an emergency room is necessary to rule out any acute medical or psychiatric condition that could be causing these symptoms. This is crucial for ensuring the safety and well-being of both the mother and the newborn.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation without a proper evaluation. The symptoms described are severe and require immediate attention in an emergency room setting, where comprehensive assessments can be conducted.
Choice C rationale:
Outpatient care is not suitable for the described symptoms. The mother's confusion and hallucinations suggest a severe condition that requires urgent evaluation in a controlled environment like an emergency room. Outpatient care might be considered after the initial assessment and stabilization, but the immediate concern is the acute nature of the symptoms.
Choice D rationale:
Behavioral therapy is not appropriate for the described

The correct answer is Choice A.

Choice A rationale: Increasing the caloric density of an infant's formula provides more calories in a smaller volume, reducing the energy expenditure required for feeding. This approach ensures the infant receives adequate nutrition while managing heart failure symptoms effectively.

Choice B rationale: Feeding an infant every 2 hours can lead to feeding intolerance and fatigue. Infants with heart failure often have limited energy reserves and need longer intervals between feedings to conserve energy and improve feeding effectiveness.

Choice C rationale: Increasing the amount of formula per feeding can overwhelm an infant with heart failure, leading to fatigue and decreased feeding efficiency. Smaller, frequent feedings with higher caloric density are more effective in providing necessary nutrients.

Choice D rationale: Placing a nasal oxygen cannula on an infant during feeding is not a standard recommendation for managing heart failure. While oxygen therapy may be necessary for some infants, it is not specifically tied to feeding practices and should be used based on individual clinical assessments.