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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Changing the perineal pad is a task that can be safely delegated to an assistive personnel (AP) as it involves basic hygiene care and does not require nursing judgment.
B. Observing an area of redness on the breast may require nursing assessment and judgment to determine if further intervention is needed.
C. Monitoring vital signs during admission of a client with gestational hypertension requires nursing assessment and judgment to detect any signs of worsening condition or complications.
D. Providing a sitz bath to a client with a fourth-degree laceration requires nursing assessment and judgment to ensure appropriate wound care and pain management.

A. "It prevents the formation of Rh antibodies in mothers who are Rh negative." B. "It destroys Rh antibodies in mothers who are Rh negative." C. "It prevents the formation of Rh antibodies in newborns who are Rh positive." D. "It destroys Rh antibodies in newborns who are Rh positive."

Correct Answer is A

Explanation

A. Rh (D) immunoglobulin, commonly known as Rhogam, is given to Rh-negative mothers to prevent the formation of Rh antibodies if the baby is Rh positive. This prevents Rh sensitization in future pregnancies, which could lead to hemolytic disease of the newborn.

B. Rh (D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers but rather prevents their formation.

C. Rh (D) immunoglobulin does not prevent the formation of Rh antibodies in Rh-positive

newborns but rather prevents the mother's immune system from producing antibodies against Rh-positive blood cells.

D. Rh (D) immunoglobulin does not destroy Rh antibodies in Rh-positive newborns. It is administered to Rh-negative mothers to prevent antibody formation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin. Which of the following should be included in the teaching?

Correct Answer is A

Explanation

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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?