NCLEX-RN
NCLEX RN Prioritization Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a 2-day-old infant who has a bilirubin level of 19 mg/dl. The physician has ordered phototherapy. Which of the following actions indicates correct preparation of the infant for this procedure?
Correct Answer: D
Rationale: Phototherapy is used to treat high levels of bilirubin among infants, typically evidenced as jaundice. The nurse must position the infant carefully during this procedure to maximize the benefits of the light therapy while protecting the baby. Placing protective eyewear over the baby's eyes without covering the nose is crucial to shield the eyes from the ultraviolet light. Undressing the baby down to a diaper and hat (
Choice
A) is a standard practice to maximize skin exposure to the phototherapy light. Placing the baby in his mother's arms before turning on the light (
Choice
B) is not necessary for the preparation of the infant for phototherapy. Positioning the phototherapy light approximately 3 inches above the baby's skin (
Choice
C) is incorrect as the distance should be as recommended by the healthcare provider based on the manufacturer's instructions.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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