A nurse is contributing to the plan of care for a newborn who has hyperbilirubinemia and requires phototherapy. Which of the following interventions should the nurse include?

Apply lotion to the newborn's skin twice per day.

Check the newborn's blood glucose every 2 hr.

Swaddle the newborn during the treatment.

Remove the newborn's eye mask during feedings.

Answer and Explanation

The Correct Answer is D

Swaddle the newborn during the treatment. Choice A reason:

Apply lotion to the newborn's skin twice per day. Rationale: The nurse should not apply lotion to the newborn's skin during phototherapy. Phototherapy involves exposing the baby's skin to light to treat hyperbilirubinemia. Applying lotion may interfere with the effectiveness of the treatment or cause adverse reactions.

Choice B reason:

Check the newborn's blood glucose every 2 hours. Rationale: While monitoring the newborn's blood glucose is an essential part of neonatal care, it is not directly related to phototherapy or the treatment of hyperbilirubinemia. Glucose monitoring is typically done to assess for hypoglycemia or other metabolic disturbances.

Choice C reason:

Swaddle the newborn during the treatment. Rationale: The newborn should not be swaddled during phototherapy because it limits exposure of the skin to the phototherapy lights, which is essential for reducing bilirubin levels.

Choice D reason:

Remove the newborn's eye mask during feedings. Rationale:The eye mask is used to protect the newborn's eyes from the bright lights during phototherapy, but it can be removed for feeding. It’s important to ensure that the newborn is fed properly, so removing the mask during feeding is a reasonable and necessary intervention.

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Correct Answer is C

Explanation

"We allow our children the freedom to decide their own behavior.”

Choice A reason:

This statement does not indicate a permissive parenting style. In fact, it suggests an authoritative or authoritarian style, where the parents make decisions for their children without considering their input. The parents' imposition of their decisions on their children's time indicates a more controlling approach.

Choice B reason:

This statement also does not reflect a permissive parenting style. Instead, it represents an authoritative or authoritarian style, where the parents expect obedience and compliance without allowing room for questions or autonomy. This approach tends to be more structured and directive.

Choice C reason:

This statement demonstrates the use of a permissive parenting style. In permissive parenting, parents tend to be lenient and allow their children considerable freedom in decision-making and behavior. By giving their children the freedom to decide their own behavior, the parents are adopting a permissive approach, which can sometimes lead to indulgence and lack of necessary boundaries.

Choice D reason:

This statement does not indicate a permissive parenting style either. Instead, it suggests an authoritative or democratic style, where the parents explain the reasoning behind the rules they set. This approach encourages understanding and cooperation but is different from permissiveness.

A. Adolescents tend to be more concerned with their appearance than the dying process. B. Many adolescents imagine death as a type of monster. C. Adolescents tend to believe their own actions might have caused their terminal illness. D. Many adolescents don't understand that death is permanent.

Correct Answer is A

Explanation

Adolescents tend to believe their own actions might have caused their terminal illness. Choice A reason:

This statement reflects a common developmental focus for adolescents, who are often navigating issues related to identity and self-image. While they are aware of their illness, many may prioritize concerns about how they look and how they are perceived by others. This can be a significant aspect of their experience during a terminal illness.

Choice B reason:

Many adolescents imagine death as a type of monster. Although this statement acknowledges a common perception of death among some adolescents, it is not the best choice for reinforcing teaching about the perception of death in the context of a terminal illness. The focus should be on more concrete and realistic aspects of death and its implications.

Choice C reason:

This statement does reflect a valid concern but may not be as prevalent as the concern with appearance in this age group. Many adolescents, especially in a terminal situation, may focus on more immediate concerns, such as how they are perceived.

Choice D reason:

Many adolescents don't understand that death is permanent. While this statement may be true for some adolescents who are still developing a full comprehension of death, it is not the most suitable choice for this scenario. In the context of a terminal illness, it is essential to acknowledge that the adolescent likely has a clear understanding of the finality of death.

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A nurse is contributing to the plan of care for a newborn who has hyperbilirubinemia and requires phototherapy. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the parenting styles of a group of parents of school-age children. Which of the following statements by a parent indicates the use of a permissive parenting style?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about perception of death with the guardians of an adolescent who has a terminal illness. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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