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An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

Tightly swaddle the infant in blanket

Keep skin moisturized with lotion

Keep eye shields on at all times, including when breastfeeding

Expose as much of the infant's skin to the lights as possible

Answer and Explanation

The Correct Answer is D

A. Incorrect → Swaddling prevents light from reaching the skin, reducing therapy effectiveness.

B. Incorrect → Lotions should be avoided as they can cause burns or interfere with light absorption.

C. Incorrect → Eye shields should be removed during feedings to allow bonding and visual stimulation.

D. Maximizing skin exposure ensures effective phototherapy. The infant should wear only a diaper to allow maximum light absorption.

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Correct Answer is A

Explanation

A. Elevating the head reduces the risk of aspiration, which is the most serious complication of TEF.

B. Incorrect → TEF prevents proper digestion because food cannot pass into the stomach.

C. Incorrect → Positioning does not significantly affect gastric pressure.

D. Incorrect → Lung function is not directly improved by this position. The goal is aspiration prevention.

A. A 2-year-old with a large bruise on the forehead B. A 6-year-old with splash burns on the front torso C. A 4-year-old with circular abrasions around the wrists D. A 10-year-old with a burn on the palm of the hand

Correct Answer is C

Explanation

A. Incorrect → A 2-year-old with a forehead bruise is common due to falls during normal play.

B. Incorrect → Splash burns on the front torso may indicate accidental injury rather than intentional harm.

C. Circular abrasions around the wrists suggest binding or restraint injuries, a red flag for abuse.

D. Incorrect → A burn on the palm could be accidental (e.g., touching a hot object). Intentional burns often appear as "glove" or "sock" burns.

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An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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