The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

gluteal maximus

deltoid

ventral gluteal

vastus lateralis

Answer and Explanation

The Correct Answer is D

Choice A rationale: The gluteal maximus is not a recommended site for intramuscular injections in infants due to the risk of injury to the sciatic nerve.

Choice B rationale: The deltoid muscle is a suitable site for older children and adults but may not be well-developed in infants.

Choice C rationale: The ventral gluteal site is not typically recommended for infants due to the potential risk of injury to the sciatic nerve.

Choice D rationale: The vastus lateralis muscle is the preferred injection site for intramuscular injections in infants.

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Correct Answer is A

Explanation

Choice A rationale: Restlessness, confusion, and tachycardia are early signs of hypoxia, indicating inadequate oxygenation.

Choice B rationale: Bradycardia, dyspnea, and cyanosis are more indicative of advanced hypoxia.

Choice C rationale: Hypotension, vomiting, and cyanosis may suggest severe hypoxia or other medical issues but are not typically early signs.

Choice D rationale: Bradycardia, lethargy, and confusion are not typical early signs of hypoxia.

A. Acetaminophen 500 mg PO q4h PRN headache B. Dulcolax suppository one per rectum PRN C. Aspirin 10 mg PO crush and put in apple sauce D. Fentanyl 25 mcg/h via transdermal patch daily E. Morphine 0:4 mg IV q4h PRN severe pain

Correct Answer is ["B","D","E"]

Explanation

Choice A rationale: Acetaminophen 500 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice B rationale: Dulcolax suppository is not subject to the first pass effect as it is administered rectally.

Choice C rationale: Aspirin 10 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.

Choice D rationale: Fentanyl 25 mcg/h via transdermal patch avoids the first pass effect as it is absorbed through the skin.

Choice E rationale: Morphine 0.4 mg IV avoids the first pass effect as it is administered intravenously.

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The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:

Correct Answer is A

Explanation

The nurse is administering medications to a client who has severe liver damage. Which medications, as ordered below, will avoid the first pass effect? (SELECT ALL THAT APPLY)

Correct Answer is ["B","D","E"]

Explanation

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