A nurse is preparing to administer benzathine penicillin G IM to a school-aged child.
Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?
The Correct Answer is ["90"]
When administering an intramuscular injection into the vastus lateralis muscle, the nurse should use a 90-degree angle. This ensures that the medication is delivered directly into the muscle tissue, allowing for optimal absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
The nurse should include the following information in the teaching about home safety for a 10- month-old infant:
- Keep plastic bags and plastic grocery bags in a secure place. Plastic bags pose a choking hazard for young children who can easily put them over their heads and suffocate.
- Serve food in small pieces no larger than a cheerio. This reduces the risk of choking, as infants have limited chewing ability and can easily swallow large pieces of food whole.
E. Use plastic covers on all electrical outlets. This prevents the infant from sticking fingers or objects into the outlet, which could lead to electrical shock.
However, the following information is incorrect and should not be included:
C. Lower the crib rails to the lowest level. While lowering the crib rails might seem convenient, it actually increases the risk of the infant climbing out and potentially falling and injuring themselves. Crib rails should be kept at the highest level possible once the infant can sit up on their own.
D. Set the water heater to 65°C (149°F). This temperature is scalding hot and can cause severe burns in infants. The recommended safe water heater temperature is 120°F (48.9°C) or lower to prevent accidental scalding.
Therefore, the correct selections are A, B, and E. The nurse should emphasize the importance of creating a safe environment for the infant by keeping choking hazards out of reach, serving food in appropriate sizes, and preventing access to electrical outlets. Additionally, the nurse should educate parents about the safe water heater temperature to avoid scalding risks.
Correct Answer is D
Explanation
Choice A rationale
Rocking the baby to sleep and then laying the baby in the crib might not alleviate the baby’s shortness of breath and irritability. While rocking can be soothing, it does not address the underlying issue of respiratory difficulty.
Choice B rationale
Taking the baby from the mother and laying the baby in the crib might not be the best advice. Separation from the mother might increase the baby’s distress and does not address the baby’s respiratory difficulty.
Choice C rationale
Feeding the baby and then laying the baby down might not be the best advice. Feeding can be difficult for a baby who is tachypneic and might increase the risk of aspiration.
Choice D rationale
Advising swaddling the baby and placing the baby on its back at a 30-degree angle in the crib is the best advice. This position can help to decrease work of breathing and increase comfort, which might help the baby to rest better.
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