A nurse is performing a head-to-toe assessment on a newborn. Which of the following actions should the nurse take to prevent heat loss through conduction?

Rationale:
A. Call the pharmacist for clarification of the medication contraindications: While the pharmacist can provide medication information, it is the provider’s responsibility to evaluate the appropriateness of the prescription and modify it if needed.

B. Administer the medication as prescribed: Administering amoxicillin to a client allergic to penicillin places the client at risk for an allergic reaction, including anaphylaxis, since both drugs are in the same class.

C. Discuss the prescription with the health care provider: Amoxicillin is a penicillin derivative and contraindicated for clients with penicillin allergies. The nurse should immediately clarify the prescription with the provider before administration to ensure client safety.

D. Place an incident report in the medical record: Incident reports are used after an error or near-miss has occurred, not before a potential error is prevented. They are also never placed in the client’s medical record.

Rationale:
A. "This clears blood from the tubing and the catheter.": Flushing an intermittent infusion device prevents blood from clotting within the catheter and tubing, maintaining patency for future medication administration.

B. "This helps to keep you hydrated.": Flushing the device does not significantly contribute to the client’s hydration status, as only small volumes of fluid are used.

C. "This prevents leakage of fluid and medication.": Flushing does not primarily prevent leakage; its main purpose is to maintain catheter patency rather than seal the device.

D. "This makes sure it stays sterile.": While flushing uses aseptic technique, the primary reason for flushing is to prevent occlusion, not to ensure sterility of the catheter.