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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

The nurse should recognize that the statement "high-calorie formula encourages increased growth" is an appropriate understanding of interventions for an infant with FTT. High-calorie formula can help infants who are not gaining weight adequately to increase their calorie intake and promote growth.

Breast milk provides adequate nutrition for most infants, but in cases of FTT, the infant may require a higher calorie intake than breast milk can provide. Regular syringe feedings and fruit juice are not recommended interventions for FTT. Syringe feedings can cause aspiration and fruit juice does not provide the appropriate balance of nutrients needed for an infant's growth and development.

A. Mumps. B. Chickenpox. C. Sore throat. D. Inﬂuenza.

Correct Answer is C

Explanation

Acute rheumatic fever is a serious inﬂammatory condition that can develop after a streptococcal infection, particularly if the infection is not treated or resolved properly. The most common initial symptom of acute rheumatic fever is a sore throat, which is usually accompanied by a fever and swollen lymph nodes.

While mumps, chickenpox, and inﬂuenza are all infectious diseases, they are not directly linked to the development of acute rheumatic fever. However, a recent or untreated streptococcal infection (such as strep throat) can lead to the development of acute rheumatic fever.

Therefore, when obtaining a health history from a child with a diagnosis of acute rheumatic fever, it is most significant to inquire about recent or untreated sore throat, as this is the most likely cause of the condition.

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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?

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The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?

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Explanation

A 7-year-old child is admited to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?

Correct Answer is C

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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?