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A nurse is caring for a newborn who has jaundice and is receiving phototherapy.
Which of the following actions should the nurse take?
Increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy.The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.
Cover the newborn’s eyes with a mask or shield.This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.
Applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy.Lotion or oil can increase the absorption of light and cause skin burns.
Turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy.The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.
Cover the newborn’s eyes with a mask or shield. This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.
Some additional explanations are:
• Choice A is wrong because increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy. The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.
• Choice C is wrong because applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy. Lotion or oil can increase the absorption of light and cause skin burns.
• Choice D is wrong because turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy. The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.