Author Question: The nurse is preparing to give an injection of vitamin K to a newborn. Which considerations would be ... (Read 80 times)

vinney12 · **on:** Jun 27, 2018

The nurse is preparing to give an injection of vitamin K to a newborn. Which considerations would be appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Administer a dose of 0.5 to 1 mg within 1 hour of birth.
2. Administer the injection subcutaneously.
3. Use a 25-gauge, 5/8-inch needle for the injection.
4. Protect the medication bottle from light.
5. Give vitamin K prior to a circumcision procedure.

Question 2

A patient comes to the reproductive health clinic and reports that she woke up in a strange room this morning, that her perineal area is sore, and she can't clearly remember what happened the previous evening.

The patient says that she is afraid that she was a victim of a drug-facilitated sexual assault. Which statement should the nurse include when discussing this possibility with the patient? 1. Drinking alcohol can lead to uninhibited sexual behavior, which is not the same as rape.
2. Some men use drugs mixed into a drink to subdue a potential victim prior to a rape.
3. It is rare that a woman doesn't remember what happened if she is actually raped.
4. We need to check for forensic evidence of rape before we can be sure what happened.

makaylafy · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 3, 4, 5
Explanation: 1. 0.5 to 1 mg is the correct dosage for vitamin K.
3. 25-gauge, 5/8-inch needle is the right size needle to use.
4. Vitamin K must be kept away from light.
5. A prophylactic injection of vitamin K1 is given to prevent hemorrhage, which can occur because of low prothrombin levels in the first few days of life.

Answer to Question 2

2
Rationale 1: Although an effect of alcohol consumption is decreased inhibition, which can lead to less cautious sexual behavior, if a woman is drugged, the sexual act is nonconsensual and, therefore, rape.
Rationale 2: Drug-facilitated sexual assault occurs when a drug such as Rohypnol, which dissolves easily and is odorless, is slipped into the drink of an unsuspecting woman.
Rationale 3: Rohypnol, which dissolves easily and is odorless, is slipped into the drink of an unsuspecting woman and causes amnesia of the attack.
Rationale 4: Forensic evidence is collected for possible legal prosecution of the attacker, but the absence of collectable evidence does not eliminate the possibility of rape.