The nurse is planning to administer an injection of vitamin K to a newborn. In preparing to administer the injection, the nurse would select which of the following injection sites?
1. The gluteal muscle
2. The lower aspect of the rectus femoris muscle
3. The medial aspect of the upper third of the vastus lateralis muscle
4. The lateral aspect of the middle third of the vastus lateralis muscle
4
Rationale: The preferred injection site for vitamin K in the newborn is the lateral aspect of the middle third of the vastus lateralis muscle in the newborn's thigh. This is the preferred injection site because it is free of major blood vessels and nerves and is large enough to absorb the medi-cation.
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A nurse observes a mother talking softly to her newborn in the pediatric clinic waiting room. The mother is also caring for her twin 2-year-olds
The twins are running around the waiting room, and the mother yells at them three times within five minutes. Which nursing diagnosis should the nurse formulate? 1. Impaired Attachment, risk for, parent/infant/child 2. Parent Anxiety related to demands of motherhood 3. Role Conflict: positive infant attachment; negative toddler attachment 4. Potential for injury of newborn related to out-of-control behavior of siblings
Which of the following should be consumed by a client with iron deficiency anemia to promote its absorption?
A) Vitamin E C) Rich sources of vitamin C B) Meat, egg yolks, oysters, and shellfish D) Sources of vitamin B12
A nurse has access to computerized standardized plans of care. After printing one for a client, what must be done next?
A) Date it and put it in the client's record. B) Sign it and put it in the Kardex. C) Individualize it to the specific client. D) Use it as printed, based on common needs.
A client diagnosed with acute myeloid leukemia is recovering from a bone marrow transplant. Which of the following nursing interventions would not be appropriate for this client?
1. Assess for reactions to anesthesia. 2. Assess vital signs. 3. Maintain isolation precautions. 4. Obtain a low-pressure mattress to prevent skin breakdown.