A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing action is appropriate?
1Stop the feedings until bilirubin levels normalize.
2Keep the newborn fully clothed to prevent skin exposure.
3Protect the eyes and monitor temperature, hydration, and stool output.✓ Correct answer
4Apply thick lotion before each phototherapy session.
Explanation
Phototherapy requires eye protection and monitoring for temperature instability, hydration status, and elimination changes. Adequate skin exposure is needed while protecting sensitive areas. Feedings usually support bilirubin excretion unless contraindicated.
Clinical Judgment Use the client cues, timing, labs, and safety risks to select the response that best fits Newborn phototherapy safety.
Memory Tip Match the strongest cue cluster to the safest nursing judgment.
KR vs US NCLEX items reward cue-based priority thinking rather than isolated recall.
Clinical Practice GuideFor Newborn phototherapy safety, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.
CautionDo not choose an action from one isolated cue when the full scenario changes priority or safety.
Phototherapy — Light therapy used to help reduce bilirubin in newborns.
Hyperbilirubinemia — Elevated bilirubin that can cause jaundice and neurologic risk if severe.
Thermoregulation — Maintenance of body temperature within a safe range.