The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child. Where is the best site to administer the injection?

Anterior outer quadrant of the thigh

Deltoid muscle of the arm

Upper outer quadrant of the buttocks

Either the thigh or the buttocks

Answer and Explanation

The Correct Answer is A

A. The anterior outer quadrant of the thigh (vastus lateralis) is the preferred site for IM injections in children under 3 years of age due to the large muscle mass and ease of access.

B. The deltoid muscle is not recommended for IM injections in children under 3 years due to the small muscle mass.

C. The upper outer quadrant of the buttocks is not recommended for IM injections in young children because the sciatic nerve may be at risk.

D. While the thigh is a preferred site, the buttocks is not ideal for young children due to the risk of nerve injury.

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Correct Answer is A

Explanation

A. At 6 months, the infant may have the lateral incisors (lower) beginning to emerge.

B. The pincer grasp typically develops around 9 months, not at 6 months.

C. Infants can begin sitting with support at 6 months but are unlikely to sit steadily without support at this age.

D. The posterior fontanel usually closes by 2 to 3 months, not by 6 months.

A. Palivizumab. B. Inactivated influenza vaccine. C. Haemophilus influenza type B vaccine. D. Pneumococcal conjugate vaccine.

Correct Answer is C

Explanation

A. Palivizumab is used for RSV prevention, not epiglottitis.

B. The influenza vaccine prevents flu, not Haemophilus influenzae infections.

C. The Haemophilus influenza type B (Hib) vaccine is specifically targeted to prevent infections by Haemophilus influenzae, a primary cause of epiglottitis.

D. The pneumococcal vaccine targets Streptococcus pneumoniae, not Haemophilus influenzae.

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The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child. Where is the best site to administer the injection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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