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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This response acknowledges the client's request and demonstrates the nurse's willingness to accommodate her preferences. By offering to request a female nurse, the nurse shows respect for the client's autonomy and strives to meet her comfort and emotional needs.
The nurse should communicate this request to the appropriate individuals involved in the assignment process, such as the nurse manager or charge nurse, to ensure that the client's preferences are considered and addressed to the best of their ability.
Correct Answer is B
Explanation
Rationale:
A. “I can take antacids at the same time as this medication.”: Antacids can be taken with pantoprazole, but it is generally recommended to separate the timing by at least 30 minutes to avoid affecting the absorption and effectiveness of the proton pump inhibitor.
B. “I have to take this medication on an empty stomach.”: Pantoprazole, a proton pump inhibitor, is best absorbed when taken 30–60 minutes before a meal. Taking it on an empty stomach enhances its effectiveness in reducing gastric acid secretion and managing GERD symptoms.
C. “I should expect to have diarrhea while taking this medication.”: While diarrhea can be a potential side effect of pantoprazole, it is not expected for every client. Most clients tolerate the medication well without gastrointestinal upset.
D. “I will need to remain upright for 1 hour after taking the medication.”: Remaining upright after taking medication is typically recommended for medications that may cause esophageal irritation, such as certain tablets or NSAIDs, but pantoprazole does not require this. Upright positioning is not necessary specifically for proton pump inhibitors
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