When administering an intramuscular dose of vitamin K (phytonadione)to a newborn, which actions by the nurse are appropriate? Select all that apply.
A)Using a 23-gauge 1/2-inch needle
B)Cleaning the skin with an alcohol swab
C)Preparing 5 mg of the medication for injection
D)Using the middle third of the vastus lateralis muscle
E)Washing the skin with soap and water

Question

Quizplus · Accepted Answer

A)A single dose of vitamin K (phytonadione)is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.
B)A single dose of vitamin K (phytonadione)is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.
C)A single dose of vitamin K (phytonadione)is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.
D)A single dose of vitamin K (phytonadione)is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.
E)A single dose of vitamin K (phytonadione)is administered to newborns within 1 hour of birth. The nurse should use the middle third of the vastus lateralis muscle, clean the skin with an alcohol swab, and use a 27-gauge 1/2-inch needle. The skin is not to be washed with soap and water before the injection. The medication dosage is between 0.5 and 1.0 mg.

When Administering an Intramuscular Dose of Vitamin K (Phytonadione)to a Newborn