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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Related Questions
Correct Answer is ["12.5"]
Explanation
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms. To do this, we multiply 55 lb by 0.4536 kg/lb, which gives us 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams. To do this, we multiply 10 mg/kg by 24.948 kg, which gives us 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer. To do this, we use the formula:
(mg of ibuprofen) / (mg/mL of ibuprofen solution) = mL of ibuprofen solution
Substituting the values, we get:
(249.48 mg) / (100 mg/5 mL) = 12.474 mL
Rounding to the nearest tenth, the answer is 12.5 mL. Therefore, the nurse should administer 12.5 mL of ibuprofen solution to the child.
Correct Answer is C
Explanation
A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk.
B. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns.
C. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk.
D. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
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