RN Maternal Newborn Online Practice Assessment Final Exam with Q&A 2024 nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include inthe plan of care Ensure the newborns eyes are closed before applying the eye shield - Overexposure to the lights during treatment can cause damage to the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield. A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the patient is the priority? "My heart feels as if it is racing." - the nurse should assess the client's heart rate. The primary action of terbutaline is to cause bronchodilation and relax smooth muscles. However, an adverse effect is tachycardia. If the pulse is greater than 130/min, the terbutaline needs to be held until the provider is notified. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which finding is the most urgent.
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