A nurse is caring for a 1-day-old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?

Keep the infant's head covered with a cap.

Apply lotion to the newborn every 4 hr.

Give the infant 30 mL (1 oz) of glucose water every 2 hr.

Ensure that the newborn wears a diaper.

Answer and Explanation

The Correct Answer is D

A.   The infants’s head should not be covered while receiving phototherapy, as the skin needs to be exposed to the therapy. However, it is essential to ensure that the infant's eyes are protected from the light.
B.   Applying lotion may interfere with the effectiveness of phototherapy by blocking the light’s effects and is unnecessary for managing jaundice in newborns.
C.   Giving glucose water is unnecessary and may interfere with the infant's hydration and nutritional needs during phototherapy.
D.   Ensuring that the newborn wears a diaper to prevent soiling of the phototherapy equipment and to allow for the monitoring of urinary output, which is an important indicator of the newborn's health during treatment.

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Correct Answer is B

Explanation

A. A larger-bore needle (usually 18- to 20-gauge) is recommended for blood transfusions to prevent hemolysis and ensure adequate flow rate.
B. Flushing the tubing with 0.9% sodium chloride ensures that it is primed and free from air or any incompatible solutions before starting the blood transfusion.
C. Vital signs should be checked immediately before, during, and after the transfusion to monitor for adverse reactions.
D. Blood transfusions are typically completed over 2 to 4 hours, depending on the clinical context, to reduce the risk of complications.

A. Ensuring that a client who is homeless receives preventive medical care B. Being honest with the parents of a child about the need to report suspected abuse C. Accepting the decision of an older adult client to live alone in her home D. Keeping a promise to visit with a client who is housebound after the delivery of care

Correct Answer is A

Explanation

A. Distributive justice involves the fair allocation of resources and benefits to all members of society. By ensuring that a homeless client receives preventive medical care, the nurse is promoting fairness and equity in healthcare access.
B. Honesty with the parents about reporting suspected abuse is related to ethical principles such as veracity and autonomy, not distributive justice.

C. This choice involves respect for autonomy rather than distributive justice.

D. This choice relates to the ethical principle of fidelity, ensuring that promises made to clients are upheld, rather than distributive justice.

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A nurse is caring for a 1-day-old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?

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