A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

keeping the newborn in the supine position

reducing the amount of fluid intake to 8 ounces daily

ensuring that the newborn is covered or clothed

covering the newborn's eyes while under the bililights

Answer and Explanation

The Correct Answer is D

A.   While positioning is important for phototherapy, the supine position may not always be necessary.
B.   Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C.   Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D.   Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.

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Correct Answer is A

Explanation

A. This technique might be appropriate for younger children, but not for teenagers who want more autonomy and respect. Letting him choose juice or soda might make him feel like he is being treated like a child, and not as a partner in his own care.
B. Seeking the teenager's input on decisions promotes autonomy and empowerment, which can be effective in adolescent healthcare.
C. Avoiding undue criticism of noncompliance is important for maintaining a supportive and trustful nurse-patient relationship, especially with adolescents.
D. The nurse should also discuss the benefits of chemotherapy with him, such as how it can kill cancer cells, shrink tumors, and improve his chances of survival. The nurse should explain the rationale and goals of chemotherapy in a clear and honest way, and answer any questions or concerns the teenager might have. By doing so, the nurse can help him understand the importance of adhering to the treatment plan, and motivate him to cope with the challenges.

A. asymmetrical movement B. bruising over area C. edema present D. facial grimacing with movement E. positive Babinski reflex

Correct Answer is ["A","B","C","D"]

Explanation

A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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A nurse is providing care to a newborn who is receiving phototherapy. Which action would the nurse most likely include in the plan of care?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 14-year-old boy with an osteosarcoma. Which communication technique would be least effective for him?

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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