Author Question: When an infant is receiving phototherapy with standard high-intensity lights, the nurse should ... (Read 97 times)

danielfitts88 · **on:** Jun 28, 2018

When an infant is receiving phototherapy with standard high-intensity lights, the nurse should explain to the parents that:

a. The infant's eyes will be covered because the bright light would prevent sleep.
b. The infant can be removed from the light for feeding and short visits.
c. Lotion can be applied to moisturize the skin before treatments.
d. The infant will remain under the light at all times.

Question 2

A woman is being discharged from a birthing center 24 hours after delivery. As part of the discharge instructions, what instructions should the nurse give her about phenylketonuria (PKU)?

a. A blood sample must be taken from the infant by 2 years of age to test for PKU.
b. Blood samples taken within 48 hours of birth provide the most reliable PKU testing.
c. The infant with PKU requires a special diet that is high in phenylalanine to replace that lost in the urine.
d. The infant should be tested for PKU between 48 and 72 hours after birth.

Expo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
The infant can be removed from the light (and the eye patches removed) for feeding and for short visits with parents. The eyes are covered during treatments to prevent damage to the eyes from the lights. Lotions and oils are not applied because they may cause burning of the skin.

Answer to Question 2

ANS: D
To prevent brain damage, treatment must be started within a few weeks of birth. Blood tests should be obtained after 48 to 72 hours of life, preferably after ingestion of protein. When infants are discharged before then, a test may be done but should be repeated within 3 weeks. Infants with PKU cannot properly metabolize phenylalanine, so it must be restricted in the diet.