A nurse is caring for a newborn who is receiving phototherapy treatment. Which of the following actions should the nurse take?
Place the newborn in the prone position.
Offer glucose water after each feeding.
Apply lotion to the newborn's exposed skin.
Cover the newborn's eyes with a mask.
The Correct Answer is D
A. Place the newborn in the prone position: The supine position is recommended for newborns to reduce the risk of sudden infant death syndrome (SIDS). Phototherapy does not change this guideline, and the baby should be placed on their back.
B. Offer glucose water after each feeding: Glucose water is not recommended as a supplement. Breast milk or formula provides sufficient nutrition and hydration. The focus should be on maintaining regular feedings to support bilirubin excretion.
C. Apply lotion to the newborn's exposed skin: Lotions and ointments should be avoided during phototherapy because they can cause skin irritation or even burns when exposed to the phototherapy lights.
D. Cover the newborn's eyes with a mask: The eyes must be protected during phototherapy to prevent retinal damage from the intense light exposure. A properly fitted eye mask should be used and checked regularly for correct placement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wart-like texture: A wart-like texture is more typical of squamous cell carcinoma or benign lesions like seborrheic keratosis. Melanomas usually do not have a rough, wart-like surface.
B. Firm and rubbery: Firm, rubbery nodules are more consistent with benign skin growths such as dermatofibromas. Melanomas tend to have irregular texture and color rather than a uniform firmness.
C. A central crater with rolled borders: This description fits basal cell carcinoma, which often presents with a pearly nodule and central ulceration. Melanomas do not commonly have this crater-like appearance.
D. Asymmetric with variegated ring: Melanomas are typically asymmetric with uneven, irregular borders and multiple colors. This variegation and asymmetry are classic warning signs distinguishing melanoma from other lesions.
Correct Answer is A
Explanation
A. Bradypnea: Magnesium sulfate toxicity depresses the central nervous system, leading to respiratory depression such as bradypnea. This is a critical sign requiring immediate intervention, as respiratory rates below 12 breaths per minute can be life-threatening.
B. Tremors: Tremors are typically associated with hypomagnesemia or withdrawal states, not magnesium toxicity. Magnesium toxicity causes muscle weakness and diminished reflexes rather than increased neuromuscular activity.
C. Insomnia: Insomnia is not a recognized symptom of magnesium toxicity. In contrast, elevated magnesium levels tend to cause sedation, lethargy, and decreased mental alertness.
D. Hypertension: Magnesium sulfate can actually lower blood pressure due to its vasodilatory effects. Hypertension would be inconsistent with toxicity and more commonly seen in preeclampsia before magnesium is administered.
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