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 B

Explanation

A. Transporting the child to radiology could exacerbate the condition due to the potential for airway obstruction in a non-controlled setting.

B. Placing the child in an upright position helps maintain an open airway and makes the child more comfortable, which is crucial for a child suspected of having epiglottitis.

C. Visualizing the epiglottis with a tongue depressor can trigger complete airway obstruction. This should only be done by an experienced provider in a controlled setting like the operating room.

D. Obtaining a throat culture should not be done in the case of suspected epiglottitis, as it can cause further distress and potentially obstruct the airway.

A. "The car seat is rear-facing in the front passenger seat." B. "I can fit my hand between the baby and the car seat harness." C. "Our car seat is front-facing in the back seat." D. "Our car seat is an infant model and is anchored in the car."

Correct Answer is D

Explanation

A. Rear-facing seats should never be placed in the front seat due to airbag risk.

B. The harness should be snug, with no more than a finger's width allowed.

C. Infants under 1 year should not be placed in a front-facing seat.

D. Rear-facing infant car seats should be securely anchored in the back seat, ensuring safety during travel.

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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

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is D

Explanation

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