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 C
Explanation
A. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation increases the risk of forgetting important details and can compromise accuracy and continuity of care. Timely documentation is critical.
B. Delay cleaning personal work area until the end of the shift: Postponing cleaning may lead to disorganization and inefficiency throughout the shift, potentially impacting infection control and readiness for patient care.
C. Complete activities for one client before moving to the next client: Focusing on completing care for one client at a time promotes continuity, reduces task repetition, and improves prioritization and time management.
D. Gather supplies for a client's dressing change after removing the old dressing: This approach wastes time and may expose the wound to contaminants. Preparing all supplies in advance supports efficiency and infection control.
Correct Answer is D
Explanation
A. Methylergonovine: While effective for postpartum hemorrhage, it causes vasoconstriction and can raise blood pressure significantly. It is contraindicated in clients with preeclampsia or hypertension due to the risk of stroke or hypertensive crisis.
B. Carboprost: Carboprost is used to treat postpartum hemorrhage, but it may increase blood pressure and is used cautiously in clients with preeclampsia. It is not typically the first-line treatment in hypertensive patients.
C. Nifedipine: Nifedipine is a calcium channel blocker used for managing hypertension and preterm labor, not for controlling postpartum bleeding. It does not cause uterine contraction and is not effective for hemorrhage.
D. Oxytocin: Oxytocin stimulates uterine contractions and is the first-line medication for managing postpartum hemorrhage. It does not raise blood pressure, making it safe and effective for clients with preeclampsia.
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