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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate.
B) Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine.
C) Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system.
D) Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.
Correct Answer is C
Explanation
A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
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