A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.
A.
apply an oil-based lotion to the newborn’s skin to prevent drying and cracking.
B.
limit the newborn’s intake of milk to prevent nausea, vomiting, and diarrhea.
C.
place eye shields over the newborn’s closed eyes.
D.
change the newborn’s position every 4 hours.
The correct answer and Explanation is :
The correct answer is C. place eye shields over the newborn’s closed eyes.
Explanation:
Hyperbilirubinemia in newborns, often manifesting as jaundice, is a common condition where there is an excess of bilirubin in the blood, resulting in a yellowish discoloration of the skin and sclera. Phototherapy is a standard treatment for this condition, utilizing ultraviolet (UV) light to help break down the excess bilirubin in the baby’s body.
Here’s why placing eye shields (Option C) is the correct answer:
- Protecting the Eyes: Phototherapy involves exposing the infant’s skin to UV light, which is effective in reducing bilirubin levels but can be harmful to the eyes. The UV light can potentially damage the delicate structures of the eyes, including the cornea and retina, if not properly shielded. Eye shields protect the newborn’s eyes from the harmful effects of this light, thereby preventing potential ocular damage.
- Safe and Effective Treatment: Proper eye protection is crucial for the safe and effective use of phototherapy. The shields are designed to ensure that the UV light used in phototherapy does not reach the baby’s eyes while still allowing the therapy to be effective.
Why the Other Options are Incorrect:
- Option A (Applying an oil-based lotion): Applying oil-based lotions is generally not recommended during phototherapy as these can interfere with the light therapy. The lotions might also increase the risk of skin irritation or rash in the sensitive skin of the newborn.
- Option B (Limiting milk intake): There is no need to restrict milk intake for a newborn undergoing phototherapy. In fact, adequate nutrition is essential for the newborn’s overall health and well-being, and it can help in managing the condition more effectively. Phototherapy does not typically cause nausea, vomiting, or diarrhea.
- Option D (Changing position every 4 hours): While it is important to monitor and reposition the newborn to prevent pressure sores and ensure optimal exposure to the light, it is not a primary intervention related to the phototherapy itself. The main focus should be on protecting the eyes and ensuring the baby receives appropriate care during the treatment.
Overall, eye protection is a critical nursing intervention when caring for a newborn undergoing phototherapy to treat hyperbilirubinemia.