A nurse is caring for a newborn who is receiving phototherapy treatment. Which of the following actions should the nurse take?

Place the newborn in the prone position.

Offer glucose water after each feeding.

Apply lotion to the newborn's exposed skin.

Cover the newborn's eyes with a mask.

Answer and Explanation

The Correct Answer is D

A. Place the newborn in the prone position: The supine position is recommended for newborns to reduce the risk of sudden infant death syndrome (SIDS). Phototherapy does not change this guideline, and the baby should be placed on their back.
B. Offer glucose water after each feeding: Glucose water is not recommended as a supplement. Breast milk or formula provides sufficient nutrition and hydration. The focus should be on maintaining regular feedings to support bilirubin excretion.
C. Apply lotion to the newborn's exposed skin: Lotions and ointments should be avoided during phototherapy because they can cause skin irritation or even burns when exposed to the phototherapy lights.
D. Cover the newborn's eyes with a mask: The eyes must be protected during phototherapy to prevent retinal damage from the intense light exposure. A properly fitted eye mask should be used and checked regularly for correct placement.

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Correct Answer is B

Explanation

A. Client was nauseated immediately after surgery: While postoperative nausea is important to document, it is an event that occurred in the past and may not reflect the client’s current status 36 hours after surgery.
B. Client’s pain relieved by position change: This information is critical as it reflects the current effectiveness of nonpharmacologic pain management strategies and guides ongoing care for comfort.
C. Checked for peripheral IV blood return prior to antibiotic: This is a routine nursing task that was completed. While important for safe medication administration, it's a procedural detail of a completed task and not usually included in a concise shift report.
D. Client provided with breakfast tray at 0800: Although documenting nutrition is important, the exact timing of meal delivery is less significant than clinical status information during shift handoff.

A. Ham sandwich with milk B. Scrambled eggs and toast with milk C. Shrimp salad and tomato soup with milk D. Bacon and cheese quiche with milk

Correct Answer is B

Explanation

A. Ham sandwich with milk: Ham is pork, which is prohibited in kosher dietary laws. Additionally, mixing meat and dairy in the same meal is not allowed in kosher practice.
B. Scrambled eggs and toast with milk: Eggs, bread, and milk are all considered kosher when prepared properly, and this combination avoids mixing meat and dairy. This option aligns with kosher dietary restrictions.
C. Shrimp salad and tomato soup with milk: Shrimp is a shellfish and is not kosher. Kosher dietary laws prohibit the consumption of shellfish and other non-scaled seafood.
D. Bacon and cheese quiche with milk: Bacon is derived from pork, which is forbidden in kosher diets. Additionally, this meal mixes meat and dairy, which is also not permitted under kosher rules.

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A nurse is caring for a newborn who is receiving phototherapy treatment. Which of the following actions should the nurse take?

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