A nurse is planning to administer immunizations to a 2-month -old infant. Which of the following actions should the nurse take to decrease the infant pain.
apply a warm pack to the injection site prior to administration.
Ask the parent to leave the room during the injections.
Administer the injections in the deltoid muscle.
Administer the injections while the infant is breastfeeding?
The Correct Answer is D
Choice A rationale
Applying a warm pack to the injection site prior to administration is not recommended as it does not effectively reduce pain during immunizations.
Choice B rationale
Asking the parent to leave the room during the injections is not recommended as it may increase the infant’s anxiety and distress.
Choice C rationale
Administering the injections in the deltoid muscle is not recommended for a 2-month-old infant. The recommended site for intramuscular administration of immunizations in children under 18 months of age is the vastus lateralis (anterolateral thigh)3.
Choice D rationale
Administering the injections while the infant is breastfeeding is recommended. Breastfeeding during immunizations has been shown to significantly reduce pain and distress in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Giving water after administering digoxin helps ensure that the medication is swallowed and reaches the stomach, which is important for proper absorption.
Correct Answer is D
Explanation
Choice A rationale
Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice B rationale
Neck vein distension is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice C rationale
Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute acetylsalicylic acid poisoning.
Choice D rationale
Hyperpyrexia, or extremely high fever, can be a symptom of severe acute acetylsalicylic acid poisoning.
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