A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

Use a 20-gauge needle to administer the vaccine.

Choose a 3/8-inch needle to administer the vaccine.

Administer the vaccine into the dorsal gluteal muscle.

Administer 0.5 mL of the vaccine.

Answer and Explanation

The Correct Answer is B

A)   Incorrect- A 20-gauge needle is too large and could cause unnecessary pain for the newborn.
B)   Correct - Choosing a 3/8-inch needle is appropriate for administering vaccines to newborns. he hepatitis B vaccine is given intramuscularly in the anterolateral thigh of newborns. The needle size should be appropriate for the muscle mass and age of the infant. A 3/8-inch needle is recommended for newborns, while a 20-gauge needle is too large and may cause tissue damage.
C)   Incorrect- Administering the vaccine into the dorsal gluteal muscle is not recommended because of the risk of injury to the sciatic nerve; the recommended site is the vastus lateralis muscle in the anterolateral thigh.
D)   Incorrect- The hepatitis B vaccine is usually administered in a dose of 0.5 mL for newborns, but this is not the only action that the nurse should take.

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Correct Answer is A

Explanation

A) Correct - Yogurt is a good source of calcium and is a suitable recommendation for a client with low calcium levels during pregnancy.
B) Incorrect- Avocados contain healthy fats and other nutrients, but they are not a particularly high source of calcium.
C) Incorrect- Peanut butter is a source of protein and healthy fats but does not provide a significant amount of calcium.
D) Incorrect- Long-grain rice is a carbohydrate source but does not contribute much to calcium intake.

A. "Cleanse your perineum with povidone-iodine prior to collecting each urine specimen." B. "You should start the 24-hour collection with your first urination." C. "You should record the time on the collection container of any missed urine specimens." D. "Do not add a urine specimen to the collection container if it contains stool

Correct Answer is C

Explanation

A) Incorrect- Cleansing the perineum with povidone-iodine is not relevant to the collection process.
B) Incorrect- The 24-hour collection should start with the first-morning urination, not with any random urination.
C) Correct - Recording the time on the collection container for any missed urine specimens is important for accurate measurement.
D) Incorrect- Stool should not be added to the urine collection container, but this is not the most important point to emphasize in this teaching.

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A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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