Intramuscular phytonadione (vitamin K) 0.5 mg is prescribed for a newborn. After the medication is prepared, in which anatomical site does the nurse administer it?
A. Gluteal muscle
B. Deltoid muscle
C. Rectus femoris muscle
D. Vastus lateralis muscle
Ans: D. Vastus lateralis muscle
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The nurse who is reviewing the posted laboratory data of a newly admitted patient recognizes that the female patient has a bacteriuria when the bacteria count in the urine exceeds:
A) 102 colonies/mL of clean-catch midstream urine B) 103 colonies/mL of clean-catch midstream urine C) 104 colonies/mL of clean-catch midstream urine D) 105 colonies/mL of clean-catch midstream urine
The nurse administers cefuroxime to a patient at least 1 hour before meals, as prescribed. However, the patient experiences GI upset. Which of the following would be most appropriate for the nurse to do?
A) Administer an antacid. B) Lower the dosage. C) Discontinue the drug. D) Administer the drug with food.
When a client, aged 5 years, is disruptive the nurse tells her "You must take a time-out.". The
expectation for the child is that she will a. go to her room until called for the next meal. b. slowly count to 20 before returning to the milieu. c. sit quietly on the lap of one of the staff members. d. sit on the periphery of the activity until able to regain self-control and review the episode.
A woman asks the nurse, "What protects my baby's umbilical cord from being squashed while inside of me?" The nurse's best response is:
1. "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly, which prevents compression of the blood vessels and ensures continued nourishment of your baby.". 2. "Your baby's umbilical floats around in blood anyway.". 3. "You don't need to be worrying about things like that.". 4. "The umbilical cord is a group of blood vessels that are very well protected by the placenta.".