# A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing action is appropriate?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396613&lang=en  
> language: en  
> subject: Diagnostic Tests  
> category: ROR

## Question

A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing action is appropriate?

## Option

1. Keep the newborn fully clothed to prevent skin exposure.
2. Protect the eyes and monitor temperature, hydration, and stool output. **✔ Correct answer**
3. Stop feedings until bilirubin levels normalize.
4. Apply thick lotion before each phototherapy session.

**Correct answer: 2**

## 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.

## In-depth explanation

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 scenario

Clinical Practice Guide
For Newborn phototherapy safety, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **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.

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