A father is concerned over the need for the injection of vitamin K for his new daughter. The nurse's best response would be,
a. "Infants are deficient in vitamin K at birth; we give one injection to prevent bleeding."
b. "This injection will protect your daughter from bleeding."
c. "Vitamin K injections are routine; state law requires we give it to all infants."
d. "Vitamin K prevents bleeding; the injection is only necessary once after birth."
A
The nurse's best response would be, "Infants are deficient in vitamin K at birth; we give one injection to prevent bleeding." This is a factual therapeutic response to the father's question. The nurse's response, "This injection will protect your daughter from bleeding" is not a sufficient response. In addition, bleeding may be caused by factors other than deficient vitamin K. The response, "Vitamin K injections are routine; state law requires we give it to all infants." This does not address the father's question. Nurses always should have a physiological rationale for their actions. Although the statement, "Vitamin K prevents bleeding; the injection is only necessary once after birth" is factual, it is not the best response.
You might also like to view...
A hospice nurse is caring for a client who is dying. The client has been prescribed morphine for pain control. The client recently had the dosage increased to adequately control the pain
The client asks the nurse, "Am I addicted to this now?" What is the best response by the nurse? A) "Needing to increase your dose does not mean you are addicted. Sometimes our bodies become adjusted to the dose of the medication and so we need to increase the dose to get the same effect." B) "You don't need to be worried about being addicted." C) "People who take morphine for cancer pain can't become addicted." D) "Being addicted to morphine is the least of your worries right now."
Which immunization would be contraindicated for a child with a suppressed immune system?
a. DTaP b. Hib c. Polio injection d. Varicella virus vaccine
The nurse caring for a patient with ataxia would recommend that the family, in preparation for discharge home:
1. remove all scatter rugs from the home. 2. rearrange the bedroom furniture. 3. arrange for someone to stay with the patient 24 hours a day. 4. purchase oversized shoes so that they are easy to get on.
What should you do when the amniotic fluid in your infant patient is stained with meconium and the infant is not vigorous?
A) Apply cricoid pressure to prevent aspiration. B) Position the infant's head down to facilitate drainage. C) Initiate cardiopulmonary resuscitation. D) Suction the trachea.