Author Question: What is an important nursing intervention for a full-term infant receiving phototherapy? a. ... (Read 53 times)

scienceeasy · **on:** Jun 28, 2018

What is an important nursing intervention for a full-term infant receiving phototherapy?

a. Observing for signs of dehydration
b. Using sunscreen to protect the infant's skin
c. Keeping the infant diapered to collect frequent stools
d. Informing the mother why breastfeeding must be discontinued

Question 2

An adolescent has just been brought to the emergency department with a spinal cord injury and paralysis from a diving accident. The parents keep asking the nurse, How bad is it? The nurse's response should be based on which knowledge?

a. Families adjust better to life-threatening injuries when information is given over time.
b. Immediate loss of function is indicative of the long-term consequences of the injury.
c. Extent and severity of damage cannot be determined for several weeks or even months.
d. Numerous diagnostic tests will be done immediately to determine extent and severity of damage.

SeanoH09 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Dehydration is a potential risk of phototherapy. The nurse monitors hydration status to be alert for the need for more frequent feedings and supplemental fluid administration. Lotions are not used; they may contribute to a frying effect. The infant should be placed nude under the lights and should be repositioned frequently to expose all body surfaces to the lights. Breastfeeding is encouraged. Intermittent phototherapy may be as effective as continuous therapy. The advantage to the mother and father of being able to hold their infant outweighs the concerns related to clearance.

Answer to Question 2

ANS: C
The extent and severity of damage cannot be determined initially. The immediate loss of function is caused by anatomic and impaired physiologic function, and improvement may not be evident for weeks or months. It is essential to provide information about the adolescent's status to the parents. Immediate treatment information should be provided. Long-term rehabilitation and prognosis can be addressed after the child is stabilized. During the immediate postinjury period, physiologic responses to the injury make an accurate assessment of damage difficult.