CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A clinical nurse specialist is caring for a neonate who develops hyperbilirubinemia. The physician ordered phototherapy BID. During the therapy, the nurse should include which plan of care:

Keep the eye shield on continuously
Cover the patient with a blanket made of light material
Take the vital signs every hour
Give fluids at least every two hours

Explanation

Answer - D - During the therapy, the nurse should include a plan of care to give fluids at least every two hours. During phototherapy, there is an increase in insensible and interstitial fluid losses, therefore extra fluids are needed to prevent dehydration.

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