r>9. 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 prior to injections
Inject the immunizations into the deltoid muscle
Use as 20-gauge needle for injections
Apply eutectic mixture of local anesthetics cream immediately before the injections .
Correct Answer : A,D
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.
Choice B rationale
Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.
Choice C rationale
Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.
Choice D rationale
Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Antibiotics initiated 24 hr ago.
Explanation:
Children with bacterial meningitis require droplet precautions to prevent the spread of infection. These precautions can typically be discontinued after 24 hours of effective antibiotic therapy, as the risk of transmission significantly decreases.
Why the other options are incorrect:
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B. Negative cerebrospinal fluid (CSF) culture – While a negative CSF culture confirms the absence of bacteria, cultures may take several days to process. Droplet precautions are usually lifted based on treatment duration, not pending lab results.
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C. Absent nuchal rigidity – Nuchal rigidity (stiff neck) is a symptom of meningitis, but its resolution does not determine infectious risk.
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D. Temperature below 37.4°C (99.4°F) – Fever reduction is a sign of improvement but does not indicate that the infection is no longer transmissible.
Correct Answer is B
Explanation
Choice A rationale
Bacterial vaginosis and trichomoniasis are both sexually transmitted infections, but they are not nationally notifiable, meaning cases are not required to be reported to the Centers for Disease Control and Prevention.
Choice B rationale
Gonorrhea is a nationally notifiable sexually transmitted infection. This means that confirmed and probable cases are required to be reported to the Centers for Disease Control and Prevention.
Choice C rationale
Human Papilloma Virus (HPV) is a common sexually transmitted infection, but it is not nationally notifiable.
Choice D rationale
Genital Herpes Simplex Virus is a common sexually transmitted infection, but it is not nationally notifiable.
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