A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Check the newborn's eyes every 8 hr.
Place mittens on the newborn's hands.
Monitor the newborn's temperature every 2 hr.
Apply lotion to the newborn's skin.
The Correct Answer is C
Rationale:
A. Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights.
D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights.
D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.
Correct Answer is B
Explanation
A. Placing the child prone (face down) is not appropriate for a lumbar puncture.
B. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area.
C. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.
D. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.
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