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351. 4, 5, 6 Rationale: Phototherapy is the use of intense fluorescent lights to reduce serum bilirubin levels in the newborn. Adverse effects from treatment, such as eye damage, dehydration, or sensory deprivation, can occur. Interventions include exposing as much of the newborn's skin as possible; however, the genital area is covered. The newborn's eyes are also covered with eye shields or patches, ensuring that the eyelids are closed when shields or patches are applied. The shields or patches are removed at least once per shift to inspect the eyes for infection or irritation and to allow eye contact. The nurse measures the lamp energy output to ensure efficacy of the treatment (done with a special device known as a photometer), monitors skin temperature closely, and increases fluids to compensate for water loss. The newborn will have loose green stools and green-colored urine. The newborn's skin color is monitored with the fluorescent light turned off every 4 to 8 hours and is monitored for bronze baby syndrome, a grayish brown discoloration of the skin. The newborn is repositioned every 2 hours, and stimulation is provided. After treatment, the newborn is monitored for signs of hyperbilirubinemia because rebound elevations can occur after therapy is discontinued. When developing the plan of care for a neonate what measure should the nurse include to prevent heat loss from conduction?To prevent infant heat loss by convection, the nurse should: Position the infant away from drafts and cooling ducts. A neonate born at 38 weeks' gestation is admitted to the neonatal nursery for observation.
Which nursing interventions help prevent heat loss in newborns?The infant can be kept warm by covering the body with an insulating layer and, thereby, preventing heat loss by convection to cold air and radiation to cold objects in the room.
Which intervention can nurses use to prevent evaporative heat loss in the newborn quizlet?To reduce evaporative heat loss, the infant should be dried after birth. A nurse is giving a newborn his first bath.
What is the priority nursing intervention for the nurse to prevent evaporative heat loss in the newborn?Evaporation losses occur as moisture from body surfaces is lost to the environment. At the time of delivery, the infant should be dried immediately to prevent rapid heat loss. Wrapping the infant in plastic can decrease the amount of evaporative loss.
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When developing the plan of care for a neonate which of the following would the nurse include to prevent heat loss from conduction?
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