A nurse is preparing to administer an intramuscular (IM) injection to a toddler. Which intervention should the nurse implement first?
Restrain the toddler to prevent movement during the injection.
Gather all necessary supplies for the injection.
Explain the procedure to the toddler using simple language.
Assess the toddler's vital signs prior to the injection.
The Correct Answer is C
A. While some form of restraint may be necessary, explaining the procedure first is important for reducing anxiety and helping the toddler understand what is going to happen.
B. Gathering supplies is essential but should come after preparing the child and ensuring they are mentally ready.
C. Explaining the procedure to the toddler helps ease anxiety and ensures they are informed, even at a young age.
D. Routine vital sign assessment is not necessary for a simple IM injection unless the child has a specific medical condition.
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Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Quiet activities and rest should be promoted to ensure the child is not overstimulated and to allow for proper recovery.
B. Liquids should be given without straws to avoid potential injury to the surgical site.
C. Monitoring the airway, breathing, and circulation (ABC) is essential, particularly in the first few hours post-surgery.
D. Pain management is critical to ensure the child’s comfort and to help with healing.
E. Applying an ice collar can help reduce swelling and pain after a tonsillectomy.
Correct Answer is A
Explanation
A. A child falling from a swing and not crying or complaining of pain could be a sign of an underlying injury or a serious condition like a head injury or internal bleeding. Immediate evaluation is needed.
B. Occasional nightmares and trouble falling asleep are common in young children and are typically not
a cause for concern unless they are persistent or interfere with the child’s daily functioning.
C. A low-grade fever for a day is common and might be a mild viral illness, but should be monitored to see if it resolves or worsens.
D. Engaging in a new hobby like painting is a positive sign of the child’s social and emotional
development, not a cause for concern.
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