A nurse is preparing to administer an intramuscular (IM) injection to a toddler. Which intervention should the nurse implement first?

Restrain the toddler to prevent movement during the injection.

Gather all necessary supplies for the injection.

Explain the procedure to the toddler using simple language.

Assess the toddler's vital signs prior to the injection.

Answer and Explanation

The Correct Answer is C

A.   While some form of restraint may be necessary, explaining the procedure first is important for reducing anxiety and helping the toddler understand what is going to happen.
B.   Gathering supplies is essential but should come after preparing the child and ensuring they are mentally ready.
C.   Explaining the procedure to the toddler helps ease anxiety and ensures they are informed, even at a young age.
D.   Routine vital sign assessment is not necessary for a simple IM injection unless the child has a specific medical condition.

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Correct Answer is C

Explanation

A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.

A. Small pieces of banana B. Cut-up grapes C. Baked potato D. Cut-up pieces of steak

Correct Answer is B

Explanation

A. Small pieces of banana are soft and typically pose a lower choking risk compared to firmer or rounder foods.
B. Cut-up grapes pose a high choking hazard due to their round shape and firm texture, which can obstruct the airway if not cut into small enough pieces.
C. Baked potato is soft and generally not a high choking risk unless it is served in large chunks.
D. Cut-up pieces of steak can be a choking hazard if not cooked or cut appropriately, but grapes present a more significant risk due to their shape and size.

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A nurse is preparing to administer an intramuscular (IM) injection to a toddler. Which intervention should the nurse implement first?

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Naxlex Comprehensive Predictor Exams

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