The nurse is supervising a graduate nurse caring for an infant receiving phototherapy. Which action by the graduate nurse requires the nurse to intervene? Select all that apply.

A. Obtains serum bilirubin level every six to twelve hours
B. Keeps the eye shield applied during feedings
C. Closes the infant's eyes before applying the eye shield
D. Applies an oil lubricant to the infant's skin
E. Removes the infant from the phototherapy to change its diaper

Question

09-07-2024
Medicine

Answered

The nurse is supervising a graduate nurse caring for an infant receiving phototherapy. Which action by the graduate nurse requires the nurse to intervene? Select all that apply.

A. Obtains serum bilirubin level every six to twelve hours
B. Keeps the eye shield applied during feedings
C. Closes the infant's eyes before applying the eye shield
D. Applies an oil lubricant to the infant's skin
E. Removes the infant from the phototherapy to change its diaper

Answer :

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GinnyAnswer GinnyAnswer · Answer 1 · 2024-07-09T10:24:34-04:00

Final answer:

The nurse should intervene if the graduate nurse keeps the eye shield applied during feedings, applies an oil lubricant to the infant's skin, or removes the infant from phototherapy to change its diaper.

Explanation:

Actions that require the nurse to intervene:

Keeps the eye shield applied during feedings: This can obstruct the infant's vision and disrupt bonding during feedings.
Applies an oil lubricant to the infant's skin: Oil can intensify the effects of phototherapy by absorbing and reflecting light.
Removes the infant from the phototherapy to change its diaper: Interrupting phototherapy can hinder the treatment effectiveness.

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