A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?
Ventrogluteal
Vastus lateralis
Dorso-gluteal
Deltoid
The Correct Answer is B
A. The ventrogluteal site can be used for IM injections in older infants but is not typically used in newborns.
B. The vastus lateralis muscle is the preferred site for IM injections in newborns due to its size and accessibility.
C. The dorso-gluteal site is not recommended for IM injections in infants due to the risk of injury to the sciatic nerve.
D. The deltoid muscle is not typically used for IM injections in newborns due to its small size and less developed musculature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing for respiratory distress is the priority following a cesarean delivery as newborns born via cesarean section are at increased risk for respiratory complications due to potential fluid in the lungs (transient tachypnea of the newborn) or immaturity of lung function.
B. Accidental lacerations are important to assess but are not the priority immediately following a scheduled cesarean delivery.
C. Hypothermia is a concern, but assessing for respiratory distress takes precedence as it can be life-threatening if not promptly addressed.
Correct Answer is B
Explanation
A. Applying ice packs to the breasts after feeding can help reduce swelling and discomfort associated with breast engorgement.
B. Applying hot packs to the breasts during feeding can increase blood flow and exacerbate engorgement. Heat can worsen inflammation and discomfort in the breasts.
C. Crushed cabbage leaves can be applied to the breasts between feedings to help reduce swelling and discomfort associated with engorgement.
D. Breastfeeding every 2 hours helps to ensure frequent emptying of the breasts, which can help alleviate engorgement.
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