A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take?
Administer intramuscularly in the anterolateral thigh.
Divide the medication into two injections if necessary.
Use a 22-25 gauge needle.
Place the child in a comfortable position, preferably sitting upright.
The Correct Answer is A
Choice A reason: The anterolateral thigh is the recommended site for intramuscular injections in toddlers due to the well-developed muscles and minimal risk of injury to nerves or blood vessels.
Choice B reason: Dividing the medication into two injections may be necessary for large volumes, but influenza vaccines typically do not require this.
Choice C reason: A 22-25 gauge needle is recommended for intramuscular injections in toddlers to minimize discomfort and tissue damage.
Choice D reason: While the supine position is not incorrect, a comfortable sitting position is preferable for toddlers to reduce anxiety and ensure a smooth vaccination process.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Bed rest is not a specific treatment for Hirschsprung's disease. While rest may be part of preoperative care, it does not address the underlying issue of the disease⁹.
Choice B reason: Surgery is the definitive treatment for Hirschsprung's disease. The pull-through procedure is commonly used to remove the affected section of the colon and connect the healthy part to the anus⁷.
Choice C reason: An NG tube may be used for decompression if there is a bowel obstruction, but it is not a treatment for Hirschsprung's disease itself. Surgery is required to correct the absence of nerve cells in the colon⁹.
Choice D reason: A high-fiber diet is not recommended before surgery as it may increase the risk of enterocolitis and bowel obstruction in patients with Hirschsprung's disease⁹.
Correct Answer is D
Explanation
Choice A reason: Surgery is not typically indicated for a hydrocele in infants as the condition often resolves on its own.
Choice B reason: Retracting the foreskin and cleansing several times daily is not related to the care of a hydrocele.
Choice C reason: Genetic counseling is not indicated for a hydrocele as it is not typically associated with genetic conditions.
Choice D reason: Most hydroceles in infants are non-communicating and resolve spontaneously without intervention.
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