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 .
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Question 1: The correct answer is Choice c. Perform developmental testing for delays.
Lead poisoning can lead to cognitive, behavioral, and developmental impairments, making developmental testing crucial for assessing potential delays and planning interventions. Developmental testing allows healthcare providers to identify any areas of concern early on, enabling them to implement appropriate interventions to support the child's development and mitigate the effects of lead poisoning.
Choice A rationale: Obtaining a stool specimen for lead levels is not the appropriate action in this scenario. Lead poisoning is typically assessed through blood lead levels, not stool specimens. Stool specimens are more commonly used for assessing gastrointestinal issues or infections rather than lead levels.
Choice B rationale: Initiating a low-iron diet for lead absorption is not recommended. Iron deficiency can actually increase lead absorption in the body, so reducing iron intake could potentially exacerbate the issue. Instead, ensuring an adequate intake of iron-rich foods may be beneficial for overall health but is not a primary intervention for lead poisoning.
Choice D rationale: Inspecting the skin for discoloration is not a relevant action for assessing lead poisoning. While lead poisoning can manifest in various symptoms, skin discoloration is not typically associated with lead exposure. Other signs and symptoms such as cognitive, behavioral, and developmental impairments are more indicative of lead poisoning.
Correct Answer is C
Explanation
Choice A rationale
Jacket restraints are typically used to secure a child’s arms during procedures. They are not specifically designed for venipuncture in infants.
Choice Drationale
Elbow restraints are used to secure the child’s elbows, often during procedures involving the upper body. They are not typically used for venipuncture.
Choice Brationale
Mitten restraints are used to prevent the child from scratching or removing tubes. They are not typically used for venipuncture.
Choice Crationale
Mummy restraints are often used for infants during procedures like venipuncture. They allow the child to be wrapped securely while leaving one area exposed for the procedure.
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