The nurse prepares to administer an IM injection to a 2-month-old infant. The proper injection site is the:
gluteus maximus.
deltoid.
vastus lateralis.
vastus medialis.
The Correct Answer is C
A. The gluteus maximus is not recommended for infants due to the risk of injury to the sciatic nerve.
B. The deltoid muscle is too small in infants for safe IM injections.
C. The vastus lateralis (anterolateral thigh) is the preferred site for IM injections in infants because it is well-developed and free of major nerves or blood vessels.
D. The vastus medialis is not commonly used for IM injections in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calling social work immediately is premature and dismissive of the mother's concerns without first assessing the situation.
B. Reviewing Elsie's admission history is important but does not address the immediate concern or the mother’s feelings.
C. Seeing Elsie last may delay care and worsen the mother’s anxiety.
D. Going and discussing the mother's concerns as soon as possible is the best action. It shows respect, builds trust, allows for early assessment, and helps address any potential issues promptly.
Correct Answer is D
Explanation
A. An open anterior fontanel at 6 months is generally normal and does not require immediate notification.
B. An intensive neurologic exam is not necessary unless other abnormal signs are present.
C. Developmental exam may be part of routine assessment but is not specifically required just because the fontanel is open.
D. The anterior fontanel normally remains open until about 12-18 months of age, so a slightly open fontanel at 6 months is expected and considered normal.
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