A nurse is preparing to administer immunizations to a 3-month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Provide a pacifier coated with an oral sucrose solution prior to the injections.
Use a 20-gauge needle for the injections.
Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections.
Inject the immunizations into the deltoid muscle.
The Correct Answer is A
Oral sucrose solution has been shown to have analgesic effects and can help reduce pain and discomfort in infants during procedures such as immunizations.
Choice B is wrong because Use a 20-gauge needle for the injections is not an answer because a 20-gauge needle is larger than the recommended size for infant immunizations.
Choice C is wrong because Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections is not an answer because EMLA cream needs to be applied at least 1 hour before the procedure to be effective.
Choice D is wrong because Inject the immunizations into the deltoid muscle is not an answer because the deltoid muscle is not recommended for infants under 12 months of age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Ataxia is a neurological sign that refers to a lack of muscle coordination and can cause staggering. Inhalation of gasoline vapors can cause symptoms such as dizziness or lightheadedness, headache, facial flushing, coughing or wheezing, staggering, slurred speech, blurry vision and weakness.
Choice B is wrong because Hypothermia is not an answer because hypothermia refers to a dangerously low body temperature and is not a symptom of gasoline inhalation.
Choice C is wrong because Hyperactive reflexes are not an answer because hyperactive reflexes refer to overactive or overresponsive reflexes and are not a symptom of gasoline inhalation.
Choice D is wrong because Pinpoint pupils are not an answer because pinpoint pupils refer to abnormally small pupils and are not a symptom of gasoline inhalation.
Correct Answer is D
Explanation
Cleanse the gums with saline-soaked gauze.
This can help keep the mouth moist and clean, which is important for preventing infection and promoting healing of oral ulcers caused by chemotherapy.
Choice A is wrong because routine oral care should be performed more frequently than every 8 hours.
Choice B is wrong because lemon glycerin swabs can dry out and irritate the mucosa.
Choice C is wrong because oral viscous lidocaine should not be used in children due to the risk of toxicity.
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