Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
The experienced nurse and the new nurse are preparing to provide phototherapy to the 4-day-old infant with hyperbilirubinemia. Which information should the experienced nurse include when instructing the new nurse about providing phototherapy for the infant?
Correct Answer: B
Rationale: Option B is essential as covering the infant's eyes with eye shields protects against retinal damage caused by the intense light used during phototherapy. This is a standard safety measure in neonatal care.
Option A is incorrect; the infant should be unclothed except for a diaper to maximize skin exposure to light, which aids in bilirubin breakdown.
Option C is misleading; frequent feedings are encouraged to promote hydration and bilirubin elimination, not to limit diaper changes.
Option D is inappropriate; mild skin rashes are common and typically do not warrant discontinuing treatment unless they are severe or accompanied by other symptoms.