A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old.
Which site should the nurse administer the immunization?
Ventrogluteal.
Deltoid.
Vastus lateralis.
Dorsogluteal.
The Correct Answer is C
Choice A rationale
The ventrogluteal site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice B rationale
The deltoid site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice C rationale
The vastus lateralis is the preferred site for administering immunizations in infants. This muscle is located in the thigh and is large enough to accommodate the injection. It is also away from major nerves and blood vessels, making it a safe site for injections.
Choice D rationale
The dorsogluteal site is not recommended for immunizations in any age group. This site has a number of large blood vessels and nerves, as well as a layer of fat, which can make injections less effective and potentially harmful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While rest is important for a child, suggesting that the child needs to rest does not address the parents’ concern about their child crying when they leave.
Choice B rationale
This is the correct answer. It is normal for an 8-month-old child to show signs of separation anxiety when their parents leave. This is a part of their normal development where they start to understand object permanence - the concept that things and people exist even when they’re out of sight. This can make them upset when their parents leave as they understand their parents are somewhere else, but they don’t know when they’ll return.
Choice C rationale
Notifying the provider about a normal developmental behavior is not necessary. It’s important for parents to understand that this behavior is a normal part of their child’s development.
Choice D rationale
While an overstimulating environment can cause distress in children, in this case, the child is upset because of their parents leaving, not because of the environment.
Correct Answer is B
Explanation
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
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