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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic.
B. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture.
C. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care.
D. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.

A. Creatinine 0.3 mg/dL (0.2 to 0.5 mg/dL) B. BUN 12 mg/dL (5 to 18 mg/dL) C. Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL) D. BUN 6 mg/dL (5 to 18 mg/dL) E. BUN 6 mg/dL (5 to 18 mg/dL)

Correct Answer is C

Explanation

A) The creatinine level is within the normal range.
B) The BUN level is within the normal range.
C) An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin.
D) The BUN level is within the normal range.

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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?

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