More questions on this topic
More questions on this topic ( 29 Questions)
A nurse is caring for an infant who has a high Bilirubin level and is receiving phototherapy.
Which of the following is the priority finding in the newborn?
Conjunctivitis is not a common complication of phototherapy. It can be prevented by using eye shields or patches to protect the newborn’s eyes from the light source.
Bronze skin discoloration is a rare complication of phototherapy that occurs when the bilirubin level is very high and the skin pigment changes. It is not a priority finding and usually resolves after phototherapy is discontinued.
This is a sign of dehydration, which can be caused by phototherapy. Phototherapy increases insensible water loss through the skin and can lead to fluid and electrolyte imbalance in the newborn. The nurse should monitor the newborn’s hydration status, weight, urine output, and serum electrolytes and provide adequate fluid intake.
Maculopapular skin rash is a benign side effect of phototherapy that does not require intervention. It usually disappears within a few days after phototherapy is stopped.
This is a sign of dehydration, which can be caused by phototherapy. Phototherapy increases insensible water loss through the skin and can lead to fluid and electrolyte imbalance in the newborn. The nurse should monitor the newborn’s hydration status, weight, urine output, and serum electrolytes and provide adequate fluid intake.
Choice A is wrong because conjunctivitis is not a common complication of phototherapy. It can be prevented by using eye shields or patches to protect the newborn’s eyes from the light source.
Choice B is wrong because bronze skin discoloration is a rare complication of phototherapy that occurs when the bilirubin level is very high and the skin pigment changes. It is not a priority finding and usually resolves after phototherapy is discontinued.
Choice D is wrong because maculopapular skin rash is a benign side effect of phototherapy that does not require intervention. It usually disappears within a few days after phototherapy is stopped.