A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?

Administer intramuscularly in the anterolateral thigh.

Divide the medication into two injections if necessary.

Use a 22-25 gauge needle.

Place the child in a comfortable position, preferably sitting upright.

Answer and Explanation

The Correct Answer is A

Choice A reason: The anterolateral thigh is the recommended site for intramuscular injections in toddlers due to the well-developed muscles and minimal risk of injury to nerves or blood vessels.

Choice B reason: Dividing the medication into two injections may be necessary for large volumes, but influenza vaccines typically do not require this.

Choice C reason: A 22-25 gauge needle is recommended for intramuscular injections in toddlers to minimize discomfort and tissue damage.

Choice D reason: While the supine position is not incorrect, a comfortable sitting position is preferable for toddlers to reduce anxiety and ensure a smooth vaccination process.

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Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

Choice A reason: Rapid growth spurts are not associated with cystic fibrosis. Instead, patients often experience poor growth due to malabsorption.

Choice B reason: Thin, watery mucus is not typical in cystic fibrosis. The mucus is usually thick and sticky, leading to blockages in the lungs and pancreas.

Choice C reason: Wheezing is a common symptom in cystic fibrosis due to the obstruction of the airways by thick mucus.

Choice D reason: A barrel-shaped chest can develop in cystic fibrosis due to chronic lung infections and air trapping.

Choice E reason: Clubbing of fingers and toes is a sign of chronic hypoxia, which can occur in cystic fibrosis due to long-standing lung disease.

A. Administer an antidiuretic. B. Encourage frequent voiding. C. Evaluate the child's self-esteem. D. Restrict fluids.

Correct Answer is B

Explanation

Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.

Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.

Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.

Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.

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A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D"]

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Correct Answer is B

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