The nurse is mentoring a new graduate who is preparing to administer the phytonadione injection to a newborn. Which muscle sites selected by the new graduate would indicate the need for further teaching? (Select all that apply.)

Correct Answer: B

Rationale: The correct answer is B: Gluteus maximus. The injection site for phytonadione in newborns is the vastus lateralis muscle due to its larger muscle mass and reduced risk of nerve injury or damage. The gluteus maximus is not a recommended site as it has a higher risk of nerve injury and is not a standard injection site for newborns. Choices A, C, and D are incorrect because the anterolateral thigh, rectus femoris, and vastus lateralis are all appropriate sites for administering the phytonadione injection in newborns.

Correct Answer: A

Rationale: The correct answer is A because it allows for multiple correct statements to be selected, which is important when educating patients about depot. Patients may experience changes in their periods, so option B is incorrect. There is no specific need to increase calcium intake related to depot use, making option C incorrect. Patients can indeed expect irregular bleeding initially, making option D incorrect. Overall, option A is the best choice as it covers the variability in potential effects of depot use on the patient.

Correct Answer: C

Rationale: The correct answer is C: Somatropin stimulates growth in long bones at epiphyseal plates by promoting cell division and growth of cartilage in bones. This drug is a synthetic form of human growth hormone, which plays a crucial role in bone growth during childhood and adolescence. Choices A, B, and D are incorrect because somatropin does not have antiinflammatory properties, does not directly affect metabolic rate and oxygen consumption, and does not promote water reabsorption from the renal tubules.

Correct Answer: C

Rationale: The correct answer is C: Heredity and obesity are major causative factors. Type 2 diabetes mellitus is commonly associated with genetic predisposition and lifestyle factors such as obesity. Genetics play a significant role in the development of type 2 diabetes, and individuals with a family history of the disease are at higher risk. Obesity can lead to insulin resistance, a key factor in the development of type 2 diabetes. Choices A and B are incorrect as type 2 diabetes is more prevalent in adults than in teenagers or young children. Choice D is incorrect as viral infections are not the primary cause of type 2 diabetes.

Correct Answer: A

Rationale: The correct answer is A because it asks which symptoms should be included in the teaching, allowing the patient to recognize various symptoms. Headache (B), nervousness (C), and bradycardia (D) are potential symptoms, but without selecting all that apply (A), the patient might miss important symptoms. Educating on all potential symptoms ensures comprehensive understanding and early recognition of any developing issues.