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Zorluk: OrtaAnte/Intra/Postpartum and Newborn Care

A practical nurse is preparing to administer a prescribed intramuscular injection of phytonadione to a 2-hour-old neonate. In which order should the nurse perform the following actions?

  1. 1Verify the prescription, medication, and the neonate's identification bands.
  2. 2Don clean gloves and identify the vastus lateralis muscle on the anterolateral thigh.
  3. 3Cleanse the selected injection site with an alcohol swab using a circular motion.
  4. 4Grasp the muscle tissue gently but firmly and insert the needle at a 90-degree angle.
  5. 5Inject the medication slowly and apply gentle pressure to the site with a dry gauze pad.

Cevap

The correct sequence is to first verify the neonate's identity and the prescription, then don gloves and locate the vastus lateralis muscle, cleanse the site, insert the needle at a 90-degree angle, and finally inject the medication while applying gentle pressure afterward.
Safe medication administration in the neonate follows a strict chronological protocol: verification of identity and orders always comes first, followed by anatomical preparation (locating the vastus lateralis), infection control (cleansing), procedural execution (insertion), and post-procedure safety (pressure for hemostasis).

Adım Adım Çözüm

1
Verify the prescription, medication, and the neonate's identification bands.
Ensures the correct neonate receives the correct dose of phytonadione.
Client safety protocols require absolute verification before physical contact or medication preparation begins.
2
Don clean gloves and identify the vastus lateralis muscle on the anterolateral thigh.
The correct anatomical site is isolated using standard precautions.
The vastus lateralis is the safest and most developed muscle for intramuscular injections in neonates.
3
Cleanse the selected injection site with an alcohol swab using a circular motion.
The injection site is sanitized.
Reduces the risk of introducing pathogens into the deeper tissue layers.
4
Grasp the muscle tissue gently but firmly and insert the needle at a 90-degree angle.
The needle successfully enters the muscle layer.
A 90-degree angle ensures the medication reaches the intramuscular space rather than pooling in the subcutaneous tissue.
5
Inject the medication slowly and apply gentle pressure to the site with a dry gauze pad.
Medication is delivered and localized bleeding is minimized.
Applying gentle pressure promotes hemostasis, which is especially important before the Vitamin K (phytonadione) takes full physiological effect.

Anahtar Kavram

Newborn Intramuscular Medication Administration Sequence
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Konular

Ante/Intra/Postpartum and Newborn Care

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