The nurse prepares to administer vitamin K1 phytonadione (AquaMEPHYTON) to a male newborn. Which of the following nursing actions is inappropriate?
  1. Vitamin K1 is stored at room temperature in the closed original carton until the contents have been used.
  2. Vitamin K1 is administered before circumcision.
  3. Vitamin K1 is administered through the intramuscular route within 12 hours of birth.
  4. Vitamin K1 is administered intramuscularly in the lateral aspect of the thigh.
Explanation
Answer: C - Vitamin K1 must be administered through the intramuscular or subcutaneous route in the lateral aspect of the thigh within the first hour of life. It must be administered before any type of procedure, such as circumcision, is initiated. Vitamin K1 is sensitive to moisture and heat.
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