What is the preferred IM injection site for a 1-year-old?

Deltoid muscle

Gluteus

Vastus lateralis

Upper thigh

Answer and Explanation

The Correct Answer is C

Rationale:
A. The deltoid muscle is not recommended for IM injections in infants due to its small size.
B. The gluteus is not preferred due to the risk of hitting the sciatic nerve and because the muscle is not well-developed in infants.
C. The vastus lateralis muscle is the preferred site for IM injections in infants due to its size and low risk of complications.
D. "Upper thigh" is a vague term but typically refers to the vastus lateralis in the context of infant injections.

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Correct Answer is A

Explanation

A. This response emphasizes the importance of the patient controlling their own pain management. PCA pumps are designed to allow the patient to self-administer pain medication as needed, ensuring they receive the appropriate dose based on their pain levels.
B. This response is inappropriate because it undermines the purpose of a PCA pump, which is to allow the patient to control their own pain relief.
C. While the partner's intention is to help, this response does not address the potential risk of over-sedation and respiratory depression when someone other than the patient administers the medication.
D. This response questions the partner's actions but does not provide clear guidance on the proper use of the PCA pump.

A. Lean patient against the bedside table. B. Splint the abdomen with a pillow. C. Support the patient's back. D. Offer an antitussive.

Correct Answer is B

Explanation

A. Leaning against a bedside table does not provide adequate support or comfort for coughing.
B. Splinting the abdomen with a pillow supports the incision site and reduces pain, making it easier for the patient to cough effectively.
C. Supporting the patient's back is helpful but not as effective as abdominal splinting for reducing pain during coughing.
D. Offering an antitussive is not appropriate as it suppresses coughing, which is needed to clear secretions postoperatively.

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What is the preferred IM injection site for a 1-year-old?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

What technique will the nurse implement to assist the postoperative patient to cough?

Correct Answer is B

Explanation

A nurse is preparing to teach a group of newly licensed nurses about the first phase of wound healing. Which of the following processes should the nurse plan to discuss?

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