A nurse is assisting with the care of a child who has suspected intussusception. Which of the following manifestations is an expected finding?

Rationale:

A. Wipe from the outer to the inner canthus after administering the drops: The correct technique is to wipe from the inner to the outer canthus to avoid introducing pathogens into the lacrimal system. Wiping in the wrong direction increases the risk of eye infections.

B. Position the child side-lying on the bed before administering the drops: Eye drops should be administered with the child in a supine or slightly reclined position. Side-lying positioning is more appropriate for ear drops and does not allow proper exposure of the conjunctival sac.

C. Apply pressure to the lacrimal punctum after administering the drops: Pressing the lacrimal punctum (inner corner of the eye) helps prevent systemic absorption of the medication by occluding the tear duct. This increases local efficacy and reduces the risk of systemic side effects, which is especially important in children.

D. Flush the eye with formal saline solution before administering the drops: Flushing with formal saline is unnecessary unless there is debris or discharge. Routine eye drop administration does not require pre-flushing..

Rationale:

A. "This medication prevents your baby from developing jaundice.": Phytonadione (vitamin K) does not play a role in bilirubin metabolism or the prevention of jaundice. Jaundice results from immature liver function and increased bilirubin levels, unrelated to vitamin K activity.

B. "This medication prevents your baby from developing bleeding problems.": Phytonadione is given to newborns to promote clotting factor synthesis and reduce the risk of hemorrhagic disease of the newborn. Newborns have low vitamin K stores at birth, making supplementation essential for preventing bleeding disorders.

C. "This medication enhances regulation of your baby's temperature.": Thermoregulation in newborns is managed by external warming and metabolic processes, not by vitamin K. Phytonadione has no impact on temperature control or thermal stability.

D. "This medication enhances your baby's immune response.": Vitamin K does not affect immune function. Its role is in coagulation, not immune system development or enhancement, and therefore does not influence infection prevention or immune strength.