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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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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.
Correct Answer is D
Explanation
A. Wheezing is more common in lower airway diseases like asthma.
B. Drooling and diaphoresis are more indicative of epiglottitis.
C. Crackles are associated with lower respiratory tract infections like pneumonia.
D. Inspiratory stridor is a hallmark sign of laryngotracheobronchitis (croup), resulting from upper airway narrowing and inflammation.
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