The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month.
Which technique should the nurse select for administration?
Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.
Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage.
Administer the injection into the middle of the lateral aspect of the thigh.
Divide the gluteal area into quarters and give IM into the upper outer quadrant.
The Correct Answer is C
Administer the injection into the middle of the lateral aspect of the thigh is the correct choice. This is the recommended site for intramuscular injection in toddlers who have been walking for at least one month, as it is a large muscle with minimal nerves and blood vessels. Choices A, B, and D are not appropriate techniques for administering an intramuscular injection to a toddler with pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Albuterol is a beta-adrenergic agonist agent that is used to open the airways in people with bronchial asthma. The mother's use of this medication to open her son's airway when he is having trouble breathing is appropriate. Overuse of the drug may cause side effects, but it does not cause chronic bronchitis (A)
Albuterol helps to relax the muscles in the airways, but it does not reduce airway inflammation (C)There is no indication that the child needs immediate evaluation (D)
Correct Answer is C
Explanation
The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-threatening complication of sickle cell disease that requires prompt treatment.
Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do not require immediate reporting to the healthcare provider.
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