Which Interventions Should the Nurse Include in the Plan of Care

question 10

Multiple Choice

Which interventions should the nurse include in the plan of care for a newborn diagnosed with hyperbilirubinemia who is receiving phototherapy? (Select all that apply.)

• A) Monitoring for hypothermia
• B) Placing patches to protect the retinas
• C) Monitoring for lethargy and irritability
• D) Weighing each diaper to determine stool output
• E) Administering a prescribed exchange transfusion

Identify and understand the role and characteristics of informal caregivers.

Recognize the complex challenges faced by caregivers, including caregiver stress and the risk of developing health problems.

Understand specific emotional and mental health conditions that affect caregivers.

Assess a caregiver's readiness and capability to provide care.

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Definitions:

Conservation

The principle in psychology that physical properties such as volume, mass, and number remain the same despite changes in the forms or appearance.

Stranger Anxiety

A type of discomfort that infants feel when encountering individuals they do not recognize.

Egocentrism

A cognitive bias where an individual is unable to differentiate between their own perspective and that of others, often seen in early childhood development.

Anxious Attachment

A form of insecure attachment characterized by a constant need for reassurance and fear of abandonment.