A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Massage the injection site for 15 seconds after administration.
Administer the vaccine into the dorsogluteal muscle.
Ensure the guardian signed an informed consent form for the immunization.
Aspirate for the presence of blood return prior to administering the vaccine.
The Correct Answer is C
A. Massaging the injection site is not recommended, as it can cause irritation or tissue damage, especially after certain types of injections.
B. The dorsogluteal muscle is no longer recommended for vaccine administration due to the risk of injury to the sciatic nerve. The preferred site is the vastus lateralis or deltoid muscle.
C. It is essential to ensure that the guardian has signed an informed consent form prior to administering the vaccine. This confirms that the guardian is aware of the vaccine's benefits and potential risks.
D. Aspirating for blood return before administering vaccines is no longer recommended or necessary for intramuscular injections.
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Related Questions
Correct Answer is D
Explanation
A. Antidiarrheal agents are generally avoided in cases of shigella infection, as they can slow the elimination of the bacteria and worsen the infection.
B. A diet high in sodium is not appropriate; instead, oral rehydration therapy (ORT) is recommended to replace fluids and electrolytes lost during diarrhea.
C. Shigella is a bacterial infection, not a viral one, so antiviral medications would not be effective. Antibiotics may be prescribed in some cases, but antivirals are not appropriate.
D. Oral rehydration therapy is crucial to prevent dehydration and restore lost fluids and electrolytes in children with diarrhea from shigella.
Correct Answer is A
Explanation
A. Wooden building blocks are appropriate for an 18-month-old child, as they promote motor skills development, coordination, and creativity. At this age, children engage in parallel play and are developing their ability to manipulate objects.
B. Stringing beads requires more advanced fine motor skills that an 18-month-old child is not yet ready for. This activity is more appropriate for older children.
C. Colored paper and safety scissors could be a choking hazard for an 18-month-old child, and using scissors requires more advanced fine motor skills than most toddlers possess.
D. Alphabet flash cards are more suitable for older children, typically those who are 3 years and older, as they are better able to understand letters and begin to form associations with words.
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