A nurse is preparing to administer an intramuscular IM injection to a preschool-age child. Which of the following actions should the nurse take?
Ask the parents to hold the child.
Administer the medication in the child's room. "
Allow the child to hold a favorite toy.
Tell the child the medicine will make him feel better.
The Correct Answer is C
A. Asking parents to hold the child during an IM injection can increase the risk of injury and is generally discouraged; proper immobilization techniques should be used instead.
B. Administering the injection in the child’s room may increase anxiety; a treatment room is preferred to limit associations of fear with the child’s personal space.
C. Allowing the child to hold a favorite toy provides comfort and distraction, which can reduce anxiety during the injection.
D. Telling the child the medicine will make him feel better may be misleading and does not address the immediate concern of pain and anxiety during the injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Blood cultures are used to detect systemic infections, not delayed hypersensitivity reactions.
B. A patch test is used to identify allergens causing delayed hypersensitivity reactions (type IV), such as contact dermatitis.
C. Urinalysis evaluates kidney and urinary tract conditions, not hypersensitivity reactions.
D. Ultrasound is used for imaging internal structures and is not relevant for identifying allergens in delayed hypersensitivity.
Correct Answer is D
Explanation
A. Testing blood sugar before meals and at bedtime is correct and shows understanding.
B. Rotating injection sites helps prevent lipodystrophy and demonstrates correct technique.
C. Eating a snack before physical activity helps prevent hypoglycemia and is appropriate.
D. The child should not skip insulin when sick; in fact, insulin doses often need adjustment during illness to prevent hyperglycemia and diabetic ketoacidosis, indicating a need for further teaching.
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