r>9. A nurse is preparing to administer immunizations to a 3-month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

Provide a pacifier coated with an oral sucrose prior to injections

Inject the immunizations into the deltoid muscle

Use as 20-gauge needle for injections

Apply eutectic mixture of local anesthetics cream immediately before the injections .

Answer and Explanation

Correct Answer : A,D

Choice A rationale

Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.

Choice B rationale

Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.

Choice C rationale

Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.

Choice D rationale

Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.

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Correct Answer is A

Explanation

Choice A rationale

An allergy to neomycin is a contraindication for receiving the measles, mumps, rubella (MMR) vaccine. Neomycin is an antibiotic that is used in some vaccines, including the MMR vaccine, to prevent bacterial contamination during the vaccine’s production. If a child has a known allergy to neomycin, they should not

receive the MMR vaccine because they could have a severe allergic reaction.

Choice B rationale

An upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine. While it’s generally recommended to wait until a child is healthy to give them a vaccine, a mild illness like a cold or upper respiratory infection usually isn’t a reason to delay vaccination.

Choice C rationale

A temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine. This temperature is within the normal range and does not indicate a fever or illness that would prevent vaccination.

Choice D rationale

A family history of seizures is not a contraindication for receiving the MMR vaccine. While febrile seizures can occur in some children after receiving the MMR vaccine, they are rare and are not more likely to occur in children with a family history of seizures.

A. use clean technique to change the tracheostomy tube. B. clean around the stoma with full -strength hydrogen peroxide. C. Place the child in Trendelenburg position when performing care. D. Have the child flex his head when securing the ties.

Correct Answer is D

Explanation

The correct answer is D. Have the child flex his head when securing the ties.

Explanation:

When securing tracheostomy ties, flexing the head helps ensure the ties are snug but not too tight. This minimizes the risk of accidental dislodgement while allowing proper airway support.

Why the other options are incorrect:

A. Use clean technique to change the tracheostomy tube – Incorrect. Sterile technique is required when changing the tracheostomy tube to prevent infection, especially in pediatric clients.
B. Clean around the stoma with full-strength hydrogen peroxide – Incorrect. Diluted hydrogen peroxide or saline is recommended to avoid tissue irritation. Full-strength hydrogen peroxide can damage delicate skin around the stoma.
C. Place the child in Trendelenburg position when performing care – Incorrect. The Trendelenburg position (head down, feet up) is not used for tracheostomy care and can increase the risk of aspiration or breathing difficulties.

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r>9. A nurse is preparing to administer immunizations to a 3-month-old infant.Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive measles, mumps, rubella.Which of the following findings Should the nurse identify as a contradiction for receiving the vaccine?

Correct Answer is A

Explanation

A nurse is planning to perform tracheostomy care for a toddler. which of the following is an appropriate action for nurse to take?

Correct Answer is D

Explanation

Explanation:

Why the other options are incorrect:

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r>9. A nurse is preparing to administer immunizations to a 3-month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?