A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy. What actions should the nurse take?
Apply hydrating lotion to the newborn’s skin prior to treatment.
Provide the newborn with 15 mL glucose water after each feeding.
Turn the newborn every 4 hours.
Close the newborn’s eyes before applying eyepatches.
The Correct Answer is D
Choice A rationale
Applying hydrating lotion to the newborn’s skin prior to treatment is not recommended. The goal of phototherapy is to expose the newborn’s skin to light, and applying lotion could potentially interfere with the effectiveness of the treatment.
Choice B rationale
Providing the newborn with 15 mL glucose water after each feeding is not a standard part of phototherapy treatment. The newborn should continue to receive regular feedings, but additional glucose water is not typically necessary.
Choice C rationale
Turning the newborn every 4 hours is not sufficient during phototherapy. The newborn should be repositioned frequently, ideally every 2-3 hours, to expose all areas of the skin to the light.
Choice D rationale
It is important to protect the newborn’s eyes during phototherapy to prevent damage from the light. Therefore, the newborn’s eyes should be covered with special patches whenever the lights are on.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A pudendal nerve block is not typically used for postpartum perineal pain management. It is more commonly used during labor to relieve pain in the perineum and vagina.
Choice B rationale
While hydrogel pads can provide cooling relief, they are not typically used for third-degree perineal lacerations. These types of lacerations often require more intensive interventions.
Choice C rationale
Applying a warm pack to the perineum can help with discomfort, but it is not the primary intervention for a third-degree perineal laceration.
Choice D rationale
Witch hazel pads are often recommended for postpartum perineal care. They can provide relief from soreness, reduce inflammation, and promote healing.
Correct Answer is A
Explanation
Choice A rationale
Amniotic fluid embolism is a life-threatening emergency that can lead to cardiac and respiratory failure. Immediate initiation of cardiopulmonary resuscitation (CPR) is crucial to maintain circulation and oxygenation.
Choice B rationale
Ephedrine is not typically used in the management of amniotic fluid embolism. It is a vasopressor used to treat hypotension, but it is not the primary intervention in this situation.
Choice C rationale
Assessing for the presence of clonus is not relevant in this situation. Clonus is a neurological sign and is not directly related to amniotic fluid embolism.
Choice D rationale
Assisting the client to empty their bladder is not a priority action in this situation. The immediate concern is maintaining the client’s airway, breathing, and circulation.
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