A nurse is assisting an infant who has respiratory syncytial virus.
For which of the following findings should the nurse intervene?

Choice A rationale

Maintaining a neutral facial expression when speaking to a child with hearing loss is not the most effective

communication strategy. Facial expressions are a crucial part of non-verbal communication, and they can provide important context and emotional cues that can aid in understanding.

Choice B rationale

Using light touch when initiating conversation can be an effective way to gain the child’s attention without startling them. This can be especially helpful for a child with hearing loss, as they may not hear someone approaching or starting to speak.

Choice C rationale

Changing positions frequently to maintain the child’s attention is not recommended. It’s better to maintain a steady position facing the child to facilitate lip-reading and non-verbal communication.

Choice D rationale

Exaggerating the pronunciation of words can actually make lip-reading more difficult for the child. It’s better to speak clearly and at a normal pace.

Choice A rationale

Applying a warm pack to the injection site prior to administration is not recommended as it does not effectively reduce pain during immunizations.

Choice B rationale

Asking the parent to leave the room during the injections is not recommended as it may increase the infant’s anxiety and distress.

Choice C rationale

Administering the injections in the deltoid muscle is not recommended for a 2-month-old infant. The recommended site for intramuscular administration of immunizations in children under 18 months of age is the vastus lateralis (anterolateral thigh)3.

Choice D rationale

Administering the injections while the infant is breastfeeding is recommended. Breastfeeding during immunizations has been shown to significantly reduce pain and distress in infants.