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 C

Explanation

A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

A. "Once he gets used to the cereal, then we'll try giving him a cup." B. "I can puree the meat that we are eating to give to my baby." C. "The cereal should be a fairly thin consistency at first." D. "I'll start with baby oatmeal cereal mixed with low-fat milk."

Correct Answer is C

Explanation

A. This statement doesn't demonstrate understanding of appropriate feeding practices for a 5-month-old.
B. While pureeing food is a method of introducing solid foods, it doesn't specifically address the appropriate consistency or type of food.
C. Introducing cereal with a thin consistency is appropriate as a first solid food for a 5-month-old.
D. Starting with baby oatmeal cereal mixed with low-fat milk may not be appropriate as cow's milk is not recommended before the age of 1.

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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?

Nursing Test Bank

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