The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month.
Which technique should the nurse select for administration?
Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.
Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage.
Administer the injection into the middle of the lateral aspect of the thigh.
Divide the gluteal area into quarters and give IM into the upper outer quadrant.
The Correct Answer is C
Administer the injection into the middle of the lateral aspect of the thigh is the correct choice. This is the recommended site for intramuscular injection in toddlers who have been walking for at least one month, as it is a large muscle with minimal nerves and blood vessels. Choices A, B, and D are not appropriate techniques for administering an intramuscular injection to a toddler with pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Biliary atresia is a condition that can cause jaundice in newborns and infants, and it can also lead to tea-colored urine due to the presence of bilirubin in the urine. Infants with biliary atresia require further assessment and treatment, including possible surgery, to prevent liver damage and other complications.
A. Intussusception is a condition in which a part of the intestine folds into itself, causing an obstruction, but it does not typically present with jaundice or tea-colored urine.
C. Hirschsprung's disease is a congenital condition that affects the large intestine and can cause bowel obstruction, but it also does not typically present with jaundice or tea-colored urine.
D. Huntington's disease is a genetic neurological disorder that typically does not present in infants and does not cause jaundice or tea-colored urine.
Correct Answer is C
Explanation
When advising a new mother on caring for a child with croup, the telephone triage nurse should prioritize concern for difficulty swallowing secretions. This symptom can indicate that the child's airway is becoming obstructed and requires immediate medical attention. A fever of 101.0°F (38.3°C) is a common symptom of croup and can be managed at home with antipyretics. Crying often when nursing is not a specific symptom of croup and may have other causes. A barking cough, worse at night, is a characteristic symptom of croup and can be managed at home with humidified air and hydration.
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