A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

The correct answer is choice c. Verbalizing the importance of monitoring for medication side effects.

Choice A rationale:

Relieving constipation is not typically a priority for patients with Graves’ disease, as constipation is not a common symptom of this condition.

Choice B rationale:

While involving adolescents in their care decisions is important, allowing them to decide whether or not to take medication is not appropriate. Adherence to medication is crucial for managing Graves’ disease.

Choice C rationale:

Verbalizing the importance of monitoring for medication side effects is essential. Graves’ disease treatment often involves medications that can have significant side effects, and monitoring these is critical for effective management and patient safety.

Choice D rationale:

Developing alternative educational goals is not directly related to the immediate management of Graves’ disease. While educational support is important, it is not the primary nursing goal in this context.

Choice A rationale:

The cuff labeled "toddler" is an appropriate criterion for selecting the right-sized blood pressure cuff for a 2-year-old boy. Pediatric blood pressure cuffs are available in different sizes, and using a cuff specifically labeled for toddlers ensures a proper fit and accurate blood pressure measurement.

Choice B rationale:

The cuff bladder width being approximately 40% of the circumference of the upper arm is a correct criterion. Using a cuff with an appropriate width ensures that the cuff covers a significant portion of the upper arm, allowing for accurate blood pressure measurement. A cuff that is too narrow or too wide can lead to inaccurate readings.

Choice C rationale:

The cuff bladder length covering 80% to 100% of the circumference of the upper arm is an incorrect criterion. The length of the cuff bladder should cover about 80% of the upper arm's circumference, not 80% to 100%. Using a cuff that is too long can result in falsely low blood pressure readings.

Choice D rationale:

The cuff bladder covering 50% to 66% of the length of the upper arm is an incorrect criterion. The bladder width, which covers the circumference of the upper arm, is more critical than the length. The width should be approximately 40% of the upper arm's circumference for accurate blood pressure measurement in children.