A nurse is caring for a client who asks why her newborn is receiving a phytonadione injection. Which of the following statements should the nurse make?
This medication prevents your baby from developing bleeding problems."
"This medication enhances regulation of your baby's temperature."
"This medication enhances your baby's immune response."
"This medication prevents your baby from developing jaundice
The Correct Answer is A
Choice A Reason:
"This medication prevents your baby from developing bleeding problems." This is the correct statement. Phytonadione is given to newborns to prevent neonatal vitamin K deficiency bleeding (VKDB), which can lead to serious bleeding problems, including intracranial hemorrhage.
Choice B Reason:
"This medication enhances regulation of your baby's temperature." Phytonadione does not have any direct impact on the regulation of a baby's temperature. Its primary purpose is to prevent bleeding issues.
Choice C Reason:
"This medication enhances your baby's immune response. Phytonadione does not enhance a baby's immune response. It primarily addresses vitamin K deficiency and associated bleeding risks.
Choice D Reason:
"This medication prevents your baby from developing jaundice." Phytonadione is not used to prevent jaundice. Jaundice is typically related to bilirubin levels and is managed separately from vitamin K supplementation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
d. Muscle pain.
Atorvastatin is a medication used to lower cholesterol levels in the blood. One of the potential adverse effects of atorvastatin is myopathy, a condition characterized by muscle pain, weakness, and tenderness. In severe cases, myopathy can progress to rhabdomyolysis, a potentially life-threatening condition in which muscle breakdown products are released into the bloodstream and can cause kidney damage.
Therefore, the nurse should instruct the client to monitor for muscle pain, weakness, or tenderness and report these symptoms to the healthcare provider immediately. Hypoglycemia, palpitations, and daytime drowsiness are not commonly associated with atorvastatin use and would not require immediate reporting to the healthcare provider.
Correct Answer is A
Explanation
Choice A Reason:
"I should discuss this document with my family after I sign it. “This statement is accurate because it reflects the importance of discussing the advance directive document and the client's preferences with their family and healthcare providers after it has been signed. Advance directives are not set in stone, and clients can change their preferences or modify their advance directives if needed. It is essential for healthcare providers and family members to be aware of the client's wishes regarding medical decisions in case they are unable to communicate or make decisions in the future.
Choice B Reason:
"An attorney will need to notarize this document for it to be valid." While it's true that some legal documents may require notarization, advance directives typically don't need to be notarized to be valid. They often require witnesses rather than notarization.
Choice C Reason:
"I am not allowed to change my mind once I sign this document. “This statement is not accurate. Clients can change their minds and modify their advance directives at any time, as long as they have the capacity to do so. Advance directives are intended to reflect a person's current healthcare preferences.
Choice D Reason:
"My partner needs to be present when I sign this document." While it's important for the client to discuss their advance directives with their family or loved ones, the presence of a partner is not a requirement for the document to be valid. Advance directives primarily focus on the individual's healthcare preferences and choices.
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