Immediately after delivery, the nurse prepares to give the ...

[jlmhmf]

Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a shot.
 
   The nurse would explain that vitamin K injections are given to newborn infants to: 1. Activate clotting factors.
  2. Break up blood clots.
  3. Promote red blood cell function and assist in gas exchange.
  4. Promote the production of hemoglobin.

Question 2

The nurse is caring for an eight-year-old child who has been in a car accident, has a head injury, and is in the ICU. The nurse sees the child pulling on the IV line. What action should the nurse take?
 
  1. Sedate the child as needed.
  2. Place soft wrist restraints on the child.
  3. Ask the parents to watch the child closely at all times.
  4. Tell the child not to pull on the IV line.

[xthemafja]

Answer to Question 1

1
Rationale 1: Levels of clotting factors are lower in infants, so vitamin K is given prophylactically to activate essential clotting factors.
Rationale 2: Vitamin K is given to promote clotting.
Rationale 3: Clotting factors do not carry oxygen or carbon dioxide.
Rationale 4: Vitamin K has no effect on the production of hemoglobin.
Global

Answer to Question 2

2
Rationale 1: Due to the head injury, it is not feasible to sedate the child.
Rationale 2: Children may interfere with treatment by pulling or removing medical devices; soft restraints may be necessary to prevent them from pulling on or removing medical devices.
Rationale 3: It is not feasible for the parents to watch the child at all times.
Rationale 4: The child may not understand what the nurse is trying to convey.
Global Rationale:

[jlmhmf]

Thank you

[xthemafja]

No problemo