Author Question: When administering an intramuscular dose of vitamin K (AquaMEPHYTON) to a newborn, which actions by ... (Read 76 times)

armygirl · **on:** Jun 25, 2018

When administering an intramuscular dose of vitamin K (AquaMEPHYTON) to a newborn, which actions by the nurse are appropriate? Select all that apply.

A) Using a 23-gauge 1/2-inch needle
B) Cleaning the skin with an alcohol swab
C) Preparing 5 mg of the medication for injection
D) Using the middle third of the vastus lateralis muscle
E) Washing the skin with soap and water

Question 2

The nurse is instructing a new mother on how to care for the newborn's circumcision site. Which statements indicate that the nurse's education session was effective? Select all that apply.

A) I should not use petroleum jelly on the penis.
B) Every time I change the diaper I am to wash the area with warm water.
C) I should report any pus drainage or change in diaper wetness to the physician.
D) Swelling is expected.
E) I am to use soap and water to remove yellow tissue on the penis.

stallen · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, D

A single dose of vitamin K (AquaMEPHYTON) is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.

Answer to Question 2

Answer: B, C

The nurse should instruct the mother to wash the area with warm water after every diaper change, to use petroleum jelly to protect the penis and prevent bleeding, and to report any pus drainage or change in urine output to the physician. Yellow tissue on the penis is granulation tissue, which is evidence of healing and should not be washed off with soap and water. Swelling is not expected after a circumcision and should be reported to the physician.