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
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 C
Explanation
A. Surgery may be considered in severe cases or if conservative treatments fail, but it is not typically the first-line treatment for Erb's palsy.
B. Immobilization may be part of the treatment plan in some cases, but it is usually accompanied by physical therapy rather than being the sole treatment.
C. Physical therapy is often the initial treatment for Erb's palsy, focusing on gentle stretching exercises, range of motion activities, and strengthening exercises to improve muscle function and joint mobility.
D. While Erb's palsy may improve over time for some infants, early intervention with physical therapy is generally recommended to optimize outcomes and prevent long- term complications.
Correct Answer is D
Explanation
A. While funding is important for sustaining health promotion activities, it may not be the key strategy for success.
B. Adequate staffing is necessary for program implementation but may not be the most critical factor for success.
C. Finding an audience is essential for targeted interventions but may not ensure the success of the program on its own.
D. Partnership development, especially with community organizations, healthcare providers, and governmental agencies, can enhance resources, reach, and sustainability of health promotion activities.
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