The nurse is administering an intramuscular injection of an antibiotic to a 3-month-old infant. Which would be the best site for the nurse to give this medication?
Vastus lateralis muscle
Deltoid muscle
Dorsogluteal muscle
Ventrogluteal muscle
The Correct Answer is A
Choice A reason: The vastus lateralis is the preferred site for IM injections in infants, as it is well-developed, has minimal nerves and vessels, and accommodates safe volumes. This aligns with pediatric nursing injection guidelines, making it the best choice for a 3-month-old receiving an antibiotic intramuscularly.
Choice B reason: The deltoid muscle is underdeveloped in a 3-month-old, with insufficient muscle mass for safe IM injections. The vastus lateralis is safer and more developed, making this incorrect, as the deltoid risks injury or inadequate drug absorption in infants receiving intramuscular injections.
Choice C reason: The dorsogluteal muscle is avoided in infants due to proximity to the sciatic nerve and underdeveloped gluteal mass, risking nerve damage. The vastus lateralis is safer, making this incorrect for a 3-month-old, as it poses significant safety concerns for IM antibiotic injections.
Choice D reason: The ventrogluteal muscle is safe in older children but less accessible in infants due to small muscle mass and positioning challenges. The vastus lateralis is preferred for its accessibility and safety, making this incorrect for a 3-month-old’s IM antibiotic injection in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Suctioning removes secretions from the nose and mouth, a correct purpose. This statement reflects accurate understanding of the procedure’s goal, making it correct and not requiring further instruction, unlike the misconception about exclusive bulb syringe use in suctioning discussed in the seminar.
Choice B reason: Asking a child to cough before suctioning clears airways and is appropriate when feasible, showing correct knowledge. This does not indicate a need for instruction, making it incorrect compared to the incorrect limitation of suctioning to bulb syringes only in the student’s statement.
Choice C reason: Using sterile saline drops to loosen secretions is a standard practice in nasal suctioning, reflecting accurate technique. This statement is correct, making it incorrect for needing further instruction, unlike the erroneous restriction of suctioning to bulb syringes alone in the seminar discussion.
Choice D reason: Suctioning is not limited to bulb syringes; catheter or mechanical suction is used in clinical settings for deeper secretions. This statement reflects a misunderstanding, requiring further instruction on suctioning methods, aligning with pediatric nursing standards, making it the correct choice for additional teaching.
Correct Answer is C
Explanation
Choice A reason: Fluoride is safe from 6 months in appropriate amounts, not delayed until 4-5 years. The first tooth’s eruption at 6 months is a key milestone, making this incorrect, as it misstates fluoride use in the context of infant dental development for the health fair.
Choice B reason: Swollen or inflamed gums are normal during teething, not a serious concern. The first tooth erupting at 6 months is a standard milestone, making this incorrect, as it misrepresents a common teething symptom as problematic in the nurse’s health fair presentation.
Choice C reason: The first tooth typically erupts by 6 months, marking the start of dental growth, a significant infant milestone. This aligns with pediatric dental guidelines, making it the correct fact for the nurse to highlight in the health fair presentation on infant developmental milestones.
Choice D reason: Lower central incisors, not upper, are usually the first to erupt in infants. The 6-month eruption timeline is accurate, making this incorrect, as it misidentifies the typical first teeth in the nurse’s presentation on infant dental development milestones at the health fair.
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