A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?
keeping the newborn in the supine position
reducing the amount of fluid intake to 8 ounces daily
ensuring that the newborn is covered or clothed
covering the newborn's eyes while under the bililights
The Correct Answer is D
A. While positioning is important for phototherapy, the supine position may not always be necessary.
B. Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C. Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D. Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A height of 47 inches would indicate excessive growth.
B. A height of 41 inches would indicate insufficient growth.
C. A height of 45 inches would be slightly above the normal range.
D. The normal range of growth for a preschooler varies, but typically, a child will grow approximately 2-3 inches per year. Given that the girl was 40 inches tall at age 4, a height of 43 inches at age 5 would be within the expected range of growth.
Correct Answer is B
Explanation
A. Enriched bread may contain some calcium, but it's not as rich a source as other options.
B. White beans are a good source of calcium, which is important for bone health in preschoolers.
C. Fortified cereal may contain added calcium, but it may not be as naturally rich as other food sources.
D. While spinach contains calcium, it also contains oxalates, which can inhibit calcium absorption, making it a less effective source of dietary calcium.
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