The charge nurse should intervene if the new graduate nurse performs which action when caring for a jaundiced newborn being treated with phototherapy?

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11ecbb05_cc19_8e44_b433_89e4ff16cb2d_MD0009_00 Phototherapy is the use of fluorescent lights to treat hyperbilirubinemia or jaundice in newborns. The light is absorbed by the newborn's skin and converts bilirubin into a water-soluble form, allowing it to be excreted in the stool and urine. The newborn should be fully exposed, except for a diaper, when placed under the phototherapy lights. Lotions and ointments should not be applied as they can absorb the heat and cause burns. Maintaining skin integrity is important as bilirubin products in the stool can cause loose stool with frequency and produce skin excoriation and breakdown. (Option A) Allowing parents to feed the newborn promotes bonding. The newborn should not be removed from the lights except during feedings for optimal effect of the phototherapy. Adequate hydration with human milk or infant formula (not water) is important as infants are prone to dehydration from phototherapy. (Option C) Temperature should be monitored closely, with the incubator placed on a low-heat setting. (Option D) The newborn's eyes should be covered with patches or guards to prevent retinal damage or cataracts when under the phototherapy lights. Educational objective: The newborn should be fully exposed, except for a diaper, when placed under phototherapy lights. Lotions and ointments should not be applied as they can absorb heat and cause burns. Newborns should wear eye shields and be monitored for adequate hydration and urine output.

The Charge Nurse Should Intervene If the New Graduate Nurse