Practice Quiz

NCLEX-RN

Category - Physiological

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A neonate diagnosed with hyperbilirubinemia is receiving phototherapy. The nurse is teaching the neonate’s parents about caring for their child during the therapy. Which of the following instructions is inappropriate?
  1. Feedings are offered every 2 to 3 hours.
  2. A string diaper is used on the neonate.
  3. Oral temperature is checked every 2 to 4 hours.
  4. The neonate’s eyes remain covered with eye patches when the neonate is held out of the phototherapy light for breastfeeding.
Explanation
Answer: D - The neonate’s eyes must be covered at all times under the light. If the neonate is held out of the light for feeding, the eye patches are removed to encourage bonding. A string diaper can be used to contain the stools, as maximum skin exposure is maintained. Oral temperature monitoring can prevent overheating, whereas feeding every 2 to 3 hours can prevent hypoglycemia.
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