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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:.

A.

apply an oil-based lotion to the newborn's skin to prevent drying and cracking.

B.

limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea.

C.

place eye shields over the newborn's closed eyes.

D.

change the newborn's position every 4 hours.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Applying oil-based lotion is not recommended during phototherapy as it can block the pores and reduce the effectiveness of the therapy. The baby's skin should be exposed to the light as much as possible to treat hyperbilirubinemia effectively.

Choice B rationale:

Limiting the newborn's intake of milk is not appropriate. Adequate hydration and nutrition are essential for infants, especially those undergoing phototherapy. Dehydration can worsen jaundice, so the baby should be encouraged to feed frequently.

Choice C rationale:

Placing eye shields over the newborn's closed eyes is essential during phototherapy. Exposure to high-intensity light can damage the baby's eyes, so protecting the eyes with shields is necessary.

Choice D rationale:

Changing the newborn's position every 2-3 hours is recommended during phototherapy. This helps ensure that all parts of the baby's skin receive equal exposure to the light, maximizing the effectiveness of the treatment.


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Related Questions

Correct Answer is A

Explanation

To calculate the estimated date of confinement (EDC) using Nagele's rule, follow these steps:

  1. Take the first day of the last menstrual period (LMP).

  2. Add 7 days to that date.

  3. Count back 3 months.

  4. Add 1 year to the resulting date, and that will be the EDC.

In this case, the client's LMP started on December 1.

  1. December 1

  2. December 8 (adding 7 days)

  3. September 8 (counting back 3 months)

  4. Add 1 year: September 8 of the following year

So, the most accurate EDC for the client using Nagele's rule would be September 8 of the following year.

Correct Answer is ["A","D","E","F"]

Explanation

Choice A rationale:
A review of systems is essential in a health history because it helps in understanding the patient's overall health status and can reveal symptoms or issues that the patient might not consider significant. This information aids in making a comprehensive assessment.
Choice D rationale:
Height, weight, and BMI data are crucial parameters to assess a patient's nutritional status and overall health. These measurements help in identifying obesity, malnutrition, or other health-related issues.
Choice E rationale:
Diet and nutritional intake provide insights into the patient's eating habits, dietary restrictions, allergies, and potential deficiencies. This information is vital for assessing the patient's overall health and planning appropriate interventions.
Choice F rationale:
Family medical history is valuable as it helps in identifying genetic predispositions, hereditary diseases, and other health conditions that might run in the family. This information is crucial for understanding the patient's risk factors and developing a personalized healthcare plan. Choice B and C rationales: Physical assessment is indeed essential in healthcare, but it is not a part of the health history, which specifically focuses on the patient's past and current health status, medical conditions, medications, allergies, surgeries, and lifestyle habits. Similarly, a sexual history is important, especially for specific medical conditions, but it might not be relevant to every patient and might not always be included in the general health history.

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