A nurse is caring for a newborn who has jaundice and is receiving phototherapy.
Which of the following actions should the nurse take?
Increase fluid intake by 25% to prevent dehydration
Cover the newborn’s eyes with a mask or shield
Apply lotion or oil to the newborn’s skin to prevent drying
Turn off the phototherapy lights during feedings
The Correct Answer is B
Cover the newborn’s eyes with a mask or shield. This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.
Some additional explanations are:
• Choice A is wrong because increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy. The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.
• Choice C is wrong because applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy. Lotion or oil can increase the absorption of light and cause skin burns.
• Choice D is wrong because turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy. The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
90 mL.According to the CDC, babies who are only getting infant formula and no breast milk need about2.5 ounces (75 mL) of formula per pound of body weight each day.
A newborn who weighs 3 kg (6 lb 10 oz) would need about15 ounces (450 mL) of formula per day, divided into 8 to 12 feedings.
This means that at each feeding, the newborn would consume about90 mLof formula.
Choice A is wrong because30 mLis too little for a newborn who weighs 3 kg.
This would only provide about10 ounces (300 mL) of formula per day, which is not enough for adequate growth and development.
Choice B is wrong because60 mLis also too little for a newborn who weighs 3 kg.
This would only provide about20 ounces (600 mL) of formula per day, which is still below the recommended amount.
Choice D is wrong because120 mLis too much for a newborn who weighs 3 kg.This would provide about40 ounces (1200 mL) of formula per day, which is more than the maximum amount of32 ouncesthat most babies need before they start solids.
Overfeeding can cause problems such as spitting up, gas, and obesity.
Correct Answer is B
Explanation
Grilled cheese sandwich with tomato soup.This food choice indicates an understanding of the teaching because it is low in purines, which are chemicals that break down into uric acid and can trigger gout attacks.
Some additional information for the response are:
• Choice A.Liver and onions with mashed potatoes is wrong because liver is an organ meat that is high in purines and should be avoided by people with gout.
• Choice C.Roast beef with green beans and rice is wrong because roast beef is a red meat that is high in purines and should be limited by people with gout.
• Choice D.Sardines on whole wheat crackers with cheese is wrong because sardines are a type of oily fish that is high in purines and should be avoided by people with gout.
• A low-purine diet for gout management should include fruits, vegetables, whole grains, legumes, nuts, and low-fat dairy products.It should also limit sugar, alcohol, and meat consumption.
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