A nurse is reviewing standard precautions with an assistive personnel (AP) who is new to the newborn nursery. For which of the following newborn care procedures should the nurse remind the AP to wear clean gloves?

A. Assist the client to cough and deep breathe: Encouraging coughing and deep breathing helps mobilize secretions and improve alveolar ventilation. While this is an important intervention for pneumonia, it does not immediately address the client’s current hypoxemia, which requires rapid intervention to improve oxygenation.

B. Administer scheduled antibiotic medication: Antibiotics are essential to treat the underlying infection, but their effect is not immediate. They do not correct acute hypoxemia or respiratory distress, so administering the antibiotic is not the first priority in this situation.

C. Discuss the pneumococcal vaccine with the provider: Vaccination is a preventive measure to reduce the risk of future infections. It does not address the acute hypoxemia or impaired gas exchange the client is experiencing during the current episode of pneumonia.

D. Position the client in high-Fowler's position: Elevating the client to a high-Fowler’s position promotes maximal lung expansion and improves ventilation-perfusion matching. This immediate intervention helps increase oxygen saturation and ease shortness of breath, making it the priority action in a client with SaO2 of 88% on room air.

A. "Nap several times during the day to promote sleep at night.": Frequent daytime naps can disrupt the sleep-wake cycle and make it more difficult to fall asleep at night, potentially worsening insomnia and stress. Short naps earlier in the day may be beneficial, but multiple naps are not recommended as a general strategy for stress reduction.

B. "Exercise 1 hour before bedtime to prevent sleep interruption.": Vigorous exercise immediately before bedtime can increase heart rate and adrenaline levels, making it harder to fall asleep. For stress management, exercise is most effective when performed earlier in the day or at least a few hours before sleep to promote relaxation and improve sleep quality.

C. "Limit coffee to no more than 6 cups per day.": Consuming six cups of coffee daily exceeds recommended caffeine limits and can contribute to anxiety, restlessness, and sleep disturbances. Effective stress management includes limiting caffeine intake to moderate levels, generally less than 200–400 mg per day, depending on individual tolerance.

D. "Listen to your favorite music to enhance feelings of calm.": Listening to music is a recognized nonpharmacologic strategy for stress reduction. It can decrease sympathetic nervous system activity, lower heart rate and blood pressure, and promote relaxation. Music therapy supports emotional well-being and can be incorporated easily into daily routines to manage stress.